Endoscopic management of adenomatous ampullary lesions  

作　　者：Jesús Espinel Eugenia Pinedo Vanesa Ojeda Maria Guerra del Rio 

机构地区：[1]Department of Digestive Diseases, Hospital Universitario de León [2]Department of Radiodiagnosis, Hospital Universitario de León [3]Department of Digestive Diseases, Hospital Universitario Dr. Negrín [4]Consultant Gastroenterologist, Burton Hospitals NHS foundation trust

出　　处：《World Journal of Methodology》2015年第3期127-135,共9页世界方法学杂志

摘　　要：Lesions of the ampulla of Vater represent an uncommon group of gastrointestinal malignancies. The majority of lesions of the ampulla of Vater are either adenomas or adenocarcinomas. Ampullary lesions are often incidental findings. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure that can obviate the need for potentially major surgical intervention. This review will provide the framework for the diagnosis and management of ampullary lesions from the perspective of the practicing gastroenterologist. Strategies for safe and successful endoscopic ampullectomy with a focus on accurate preoperative diagnosis and staging, resection technique, and management of complications are presented.Lesions of the ampulla of Vater represent an uncommon group of gastrointestinal malignancies. The majority of lesions of the ampulla of Vater are either adenomas or adenocarcinomas. Ampullary lesions are often incidental fndings. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure that can obviate the need for potentially major surgical intervention. This review will provide the framework for the diagnosis and management of ampullary lesions from the perspective of the practicing gastroenterologist. Strategies for safe and successful endoscopic ampullectomy with a focus on accurate preoperative diagnosis and staging, resection technique, and management of complications are presented.

关 键 词：PAPILLARY TUMORS ENDOSCOPIC AMPULLECTOMY ENDOSCOPIC ultrasound Ampullary ADENOMA PANCREATITIS 

分 类 号：O1[理学—数学]