Endoscopic ampullectomy in a patient with a duodenal diverticulum. A challenging procedure.
A 65 year-old male was admitted to the University hospital with obstructive jaundice. Endoscopic examination revealed a grossly abnormal major ampulla, situated at the edge of a large duodenal diverticulum. Biopsy of the ampulla was positive for villous adenoma. We describe the technique utilized to successfully perform an end-bloc endoscopic resection of a major ampulla on a diverticulum.
Artifon
E L A
EL
Department of Gastroenterology, University of São Paulo School of Medicine, São Paulo, Brazil. eartifon@hotmail.com
Sakai
P
P
Baracat
R
R
Moura
E G H
EG
D018253:Adenoma, Villous / Q000150:complications / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000150:complications / Q000601:surgery*; D004240:Diverticulum / Q000150:complications; D004378:Duodenal Diseases / Q000150:complications; D016145:Endoscopy, Digestive System / Q000379:methods; D006801:Humans; D008297:Male