Show simple item record

dc.contributor.authorGuerra, Maria
dc.date.accessioned2017-12-20T11:07:11Z
dc.date.available2017-12-20T11:07:11Z
dc.date.issued2016-05
dc.identifier.citationRev Esp Enferm Dig. 2016 May;108(5):271-8. doi: 10.17235/reed.2016.en
dc.identifier.urihttp://hdl.handle.net/20.500.12904/754
dc.description.abstractThis article provides a practical review to undertaking safe endoscopic ampullectomy and highlights some of the common difficulties with this technique as well as offering strategies to deal with these challenges. We conducted a review of studies regarding endoscopic ampullectomy for ampullary neoplasms with special focus on techniques. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. The optimal technique for endoscopic ampullectomy is dependent on the lesions size. En bloc resection is recommended for lesions confined to the papilla. There is no significant evidence to support the submucosal injection before ampullectomy. There is no consensus regarding the optimal current and power output for endoscopic ampulectomy. The benefits of a thermal adjunctive therapy remain controversial. A prophylactic pancreatic stent reduces the incidence and severity of pancreatitis post-ampullectomy. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure for papillary adenomas in experienced endoscopist and it can avoid the need for surgical intervention.en
dc.language.isoenen
dc.subjectEndoscopyen
dc.subjectAmpullectomyen
dc.subjectPapillary Adenomasen
dc.titleEndoscopic ampullectomy: a technical reviewen
dc.typeArticleen
refterms.dateFOA2021-06-03T10:09:39Z


Files in this item

Thumbnail
Name:
Guerra - Rev Esp de Enf Dig - ...
Size:
1.390Mb
Format:
PDF

This item appears in the following Collection(s)

Show simple item record