Korean J Gastrointest Endosc.  2001 Apr;22(4):216-219.

A Case of Ampullary Adenoma Resected by Endoscopic Mucosal Resection

  • 1Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. mhkim@www.amc.seoul.kr


Villous adenomas of the ampulla of Vater are rare premalignant tumors that have been reported to occur in 0.04% to 0.12% of postmortem series. Traditionally surgical treatment has been used but it might result in significant morbidity and mortality. This case is a villous adenoma of ampulla of Vater found incidentally, but successfully removed by endoscopic method. After endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasonography (EUS), we resected the tumor of ampulla of Vater endoscopically using endoscopic mucosal resection (EMR) method. The post-procedure course was uneventful. Here we report an ampullary adenoma resected by endoscopic method in a 42-year-old man with villous adenoma of the ampulla of Vater.


Ampulla of Vater; Adenoma; Endoscopic mucosal resection
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