None listed
Conditions
Interventions
Procedure/Surgery : Conventional endoscopic papillectomy (groua A) is performed using a duodenoscope with a working channel of 3.2 mm (JF-260
Olympus Optical Co, Tokyo, Japan) and a monofilament polypectomy snare (SD-7P-1
Olympus) without an injection of saline solution. After snare resection, a 5-Fr Zimmon stent 5 cm long is routinely placed into the pancreatic duct without prior sphincterotomy.
In wire-guided endosco
Microvasive Endosscopy, Boston Scientific Corp, Natick, Mass) is inserted through the catheter and deep into the main pancreatic duct. After removing the ERCP catheter, the loop of an electrosurgical
Olympus) is passed over the guidewire, in monorail fashion, and the snare was closed lightly. After placing the tip of the duodenoscope on the tumor, the snare is deployed so that it grasped the base
Sponsors
Konkuk University Medical Center
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Endoscopically accessible ampullary adenomas with the absence of intraductal growth in the bile duct and the pancreatic duct. 2. Patients refuse a surgical treatment in case of ampullary tumor with focal carcinoma change
Exclusion criteria
Exclusion criteria: 1. Prepapillectomy diagnosis of a malignant tumor 2. Metastatic tumor 3. Coagulopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate for insertion of pancreatic stent;Complete resection rate | — |
Secondary
| Measure | Time frame |
|---|---|
| Tumor recurrence | — |
Countries
Korea, Republic of
Contacts
Public ContactYoung Koog Cheon
Konkuk University Medical Center
Outcome results
None listed