Korean J Gastroenterol.  2016 Aug;68(2):64-69. 10.4166/kjg.2016.68.2.64.

Endoscopic Duodenal Snare Papillectomy Induced Complication: Prevention and Management

• Cho YD
• Cha SW

• KMID: 2350082
• DOI: http://doi.org/10.4166/kjg.2016.68.2.64

Abstract

Tumors of the major duodenal papilla are being recognized more often because of the increased use of diagnostic upper endoscopy and ERCP. The standard of management for ampullary tumor is local surgical excision or pancreaticoduodenectomy, but these procedures are associated with significant mortality, as well as post-operative and long-term morbidity. Endoscopic snare papillectomy was introduced as an alternative to surgery, but post-procedure complications are serious drawback. The most serious complications are perforation, delayed bleeding and pancreatitis. Identification of high risk patients, early recognition of complications, and aggressive management abates frequency and severity. Prevention and management of endoscopic duodenal papillectomy-induced complications will be reviewed in this article.

Keyword

Adenoma; Endoscopic; Snare; Papillectomy; Complications

MeSH Terms

Adenoma
Ampulla of Vater
Cholangiopancreatography, Endoscopic Retrograde
Endoscopy
Hemorrhage
Humans
Mortality
Pancreaticoduodenectomy
Pancreatitis
SNARE Proteins*
SNARE Proteins

Reference

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