Journal of Digestive Cancer Research

  • 제11권2호
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  • Pages.93-98
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  • 2023
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  • 2950-9394(pISSN)
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  • 2950-9505(eISSN)
대한소화기암연구학회 (Korean Society of Gastrointestinal Cancer Research)
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십이지장 팽대부 종양의 내시경적 치료

Endoscopic Management of Ampullary Tumors

  • 정회훈 (한림대학교 의과대학 강남성심병원 소화기내과) ;
  • 박재근 (한림대학교 의과대학 강남성심병원 소화기내과)
  • Hwehoon Chung (Department of Gastroenterology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Jae Keun Park (Department of Gastroenterology, Kangnam Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2023.08.04
  • 심사 : 2023.08.13
  • 발행 : 2023.08.20
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초록

Ampullary tumor is a rare disease whose prevalence rate has increased gradually in recent years with the increase in endoscopic examinations. Ampullary lesions are observed via endoscopy, and biopsy is done to determine whether such lesions are adenomas or carcinomas. Endoscopic papillectomy is performed on ampullary adenomas without intraductal lesions. Before the procedure, bleeding tendencies and pancreatitis are assessed, and the lesion is resected using a high-frequency wave and a thin wire snare. Thereafter, pancreatic duct stent insertion or clipping of the resection site is performed to prevent postprocedural pancreatitis. Although 47-93% of the patients achieve complete endoscopic papillary resection, the recurrence rate is 5-31%. Hence, regular follow-up via endoscopy is required.

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참고문헌

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