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©The Author(s) 2022.
World J Gastroenterol. May 7, 2022; 28(17): 1845-1859
Published online May 7, 2022. doi: 10.3748/wjg.v28.i17.1845
Published online May 7, 2022. doi: 10.3748/wjg.v28.i17.1845
Table 2 Techniques and outcomes of endoscopic papillectomy
| n (%)/mean ± SD (n = 106) | |
| EUS | 37 (34.9) |
| ERCP | |
| Cholangiogram | 70 (66.0) |
| Pancreatogram | 87 (82.1) |
| Submucosal lifting | 4 (3.8) |
| Type of resection | |
| En-bloc | 90 (84.9) |
| Piecemeal | 16 (15.1) |
| Thermal ablation after resection | 24 (22.6) |
| Complete endoscopic resection | 105 (99.1) |
| Stent implantation | |
| Bile duct | 25 (23.6) |
| Pancreatic duct | 78 (73.6) |
| Resection specimen size, mm | 13.6 ± 5.5 |
| ≤ 15 | 77 (72.6) |
| > 15 | 29 (27.4) |
| Final pathology | |
| Chronic inflammation | 3 (2.8) |
| Adenoma | |
| Low grade | 81 (76.4) |
| High grade | 18 (17.0) |
| Adenocarcinoma | 4 (3.8) |
| Accuracy of endoscopic biopsy | |
| Underestimate | 18 (17.0) |
| Overestimate | 4 (3.8) |
| Resection margin | |
| Negative | 84 (79.2) |
| Positive/Uncertain | 22 (20.8) |
| Positive | 19 (17.9) |
| Uncertain | 3 (2.8) |
| Curative resection | 81 (76.4) |
| Early recurrence | 11 (10.4) |
| Late recurrence | 13 (12.3) |
| Re-recurrence | 6 (5.7) |
| Endoscopic success | 99 (93.4) |
| Mean hospital stay, d | 5.7 ± 3.0 |
| Mean adenoma-free period, mo | 29.6 ± 21.3 |
- Citation: Choi SJ, Lee HS, Kim J, Choe JW, Lee JM, Hyun JJ, Yoon JH, Kim HJ, Kim JS, Choi HS. Clinical outcomes of endoscopic papillectomy of ampullary adenoma: A multi-center study. World J Gastroenterol 2022; 28(17): 1845-1859
- URL: https://www.wjgnet.com/1007-9327/full/v28/i17/1845.htm
- DOI: https://dx.doi.org/10.3748/wjg.v28.i17.1845