Case study| Volume 76, ISSUE 6, P1266-1269, December 2012

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Endoscopic balloon dilation to facilitate treatment of intraductal extension of ampullary adenomas (with video)

Published:September 28, 2012DOI:
      Ampullary adenomas occur sporadically or in patients with familial adenomatous polyposis and are being diagnosed more often because of the widespread use of endoscopy.
      • Baron T.H.
      Ampullary adenoma.
      Adenomas may undergo malignant transformation through the adenoma-carcinoma sequence
      • Stolte M.
      • Pscherer C.
      Adenoma-carcinoma sequence in the papilla of Vater.
      ; therefore, complete resection is advised.


      EBD (endoscopic balloon dilation)
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        • Baron T.H.
        Ampullary adenoma.
        Curr treat options gastroenterol. 2008; 11: 96-102
        • Stolte M.
        • Pscherer C.
        Adenoma-carcinoma sequence in the papilla of Vater.
        Scand J Gastroenterol. 1996; 31: 376-382
        • Adler D.G.
        • Qureshi W.
        • Davila R.
        • et al.
        • Standards of Practice Committee
        The role of endoscopy in ampullary and duodenal adenomas.
        Gastrointest Endosc. 2006; 64: 849-854
        • Catalano M.F.
        • Linder J.D.
        • Chak A.
        • et al.
        Endoscopic management of adenoma of the major duodenal papilla.
        Gastrointest Endosc. 2004; 59: 225-232
        • Norton I.D.
        • Geller A.
        • Petersen B.T.
        • et al.
        Endoscopic surveillance and ablative therapy for periampullary adenomas.
        Am J Gastroenterol. 2001; 96: 101-106
        • Bohnacker S.
        • Seitz U.
        • Nguyen D.
        • et al.
        Endoscopic resection of benign tumors of the duodenal papilla without and with intraductal growth.
        Gastrointest Endosc. 2005; 62: 551-560
        • Saleem A.
        • Wang K.K.
        • Baron T.H.
        Successful endoscopic treatment of intraductal extension of a villous adenoma with high-grade dysplasia, with 3-year follow-up.
        Gastrointest Endosc. 2011; 74: 714-716
        • Kim J.H.
        • et al.
        Endoscopic snare papillectomy by using a balloon catheter for an unexposed ampullary adenoma with intraductal extension (with videos).
        Gastrointest Endosc. 2009; 69: 1404-1406
        • Meine G.C.
        • Baron T.H.
        Endoscopic papillary large-balloon dilation combined with endoscopic biliary sphincterotomy for the removal of bile duct stones (with video).
        Gastrointest Endosc. 2011; 74 (quiz 1115.e1-5): 1119-1126
        • Rumalla A.
        • Baron T.H.
        • Wang K.K.
        • et al.
        Endoscopic application of photodynamic therapy for cholangiocarcinoma.
        Gastrointest Endosc. 2001; 53: 500-504
        • Steel A.W.
        • Postgate A.J.
        • Khorsandi S.
        • et al.
        Endoscopically applied radiofrequency ablation appears to be safe in the treatment of malignant biliary obstruction.
        Gastrointest Endosc. 2011; 73: 149-153
        • Binmoeller K.F.
        • Boaventura S.
        • Ramsperger K.
        • et al.
        Endoscopic snare excision of benign adenomas of the papilla of Vater.
        Gastrointest Endosc. 1993; 39: 127-131
        • Norton I.D.
        • Gostout C.J.
        • Baron T.H.
        • et al.
        Safety and outcome of endoscopic snare excision of the major duodenal papilla.
        Gastrointest Endosc. 2002; 56: 239-243
        • Cheng C.L.
        • Sherman S.
        • Fogel E.L.
        • et al.
        Endoscopic snare papillectomy for tumors of the duodenal papillae.
        Gastrointest Endosc. 2004; 60: 757-764
        • Enestvedt C.K.
        • Diggs B.S.
        • Cassera M.A.
        • et al.
        Complications nearly double the cost of care after pancreaticoduodenectomy.
        Am J Surg. 2012; 204: 332-338
        • Das A.
        • Singh P.
        • Sivak Jr, M.V.
        • et al.
        Pancreatic-stent placement for prevention of post-ERCP pancreatitis: a cost-effectiveness analysis.
        Gastrointest Endosc. 2007; 65: 960-968
        • Small A.J.
        • Baron T.H.
        Successful endoscopic resection of ampullary adenoma with intraductal extension and invasive carcinoma (with video).
        Gastrointest Endosc. 2006; 64: 148-151