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World J Gastroenterol. Feb 14, 2014; 20(6): 1537-1543
Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1537
Published online Feb 14, 2014. doi: 10.3748/wjg.v20.i6.1537
Endoscopic papillectomy: Indications, techniques, and results
Giovanni D De Palma, Center of Excellence for Technical Innovation in Surgery, Department of Clinical Medicine and Surgery, University of Naples Federico II School of Medicine, 80131 Naples, Italy
Author contributions: De Palma GD solely contributed to this paper.
Correspondence to: Giovanni D De Palma, MD, Director of Center of Excellence for Technical Innovation in Surgery, Department of Clinical Medicine and Surgery, University of Naples Federico II School of Medicine, Via Pansini 5, 80131 Naples, Italy. giovanni.depalma@unina.it
Telephone: +39-81-7462773 Fax: +39-81-7462752
Received: May 25, 2013
Revised: October 17, 2013
Accepted: December 12, 2013
Published online: February 14, 2014
Processing time: 273 Days and 17.2 Hours
Revised: October 17, 2013
Accepted: December 12, 2013
Published online: February 14, 2014
Processing time: 273 Days and 17.2 Hours
Core Tip
Core tip: Endoscopic papillectomy is a relatively safe and effective therapy and should be established as a first-line therapy for adenomas of the major duodenal papilla. Accurate staging of the tumor is important in the selection of patients. Performed by experienced endoscopists leads to successful tumor eradication in over 85% of patients with ampullary adenomas.