title: Endoscopic management of adenomatous ampullary lesions.
abstract: Lesions of the ampulla of Vater represent an uncommon group of gastrointestinal malignancies. The majority of lesions of the ampulla of Vater are either adenomas or adenocarcinomas. Ampullary lesions are often incidental findings. Accurate preoperative diagnosis and staging of ampullary tumors is imperative for predicting prognosis and determining the most appropriate therapeutic approach. Endoscopic ampullectomy is a safe and efficacious therapeutic procedure that can obviate the need for potentially major surgical intervention. This review will provide the framework for the diagnosis and management of ampullary lesions from the perspective of the practicing gastroenterologist. Strategies for safe and successful endoscopic ampullectomy with a focus on accurate preoperative diagnosis and staging, resection technique, and management of complications are presented.
authors.affiliation: Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
authors.forename: Jesús
authors.initials: J
authors.lastname: Espinel
authors.affiliation: Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
authors.forename: Eugenia
authors.initials: E
authors.lastname: Pinedo
authors.affiliation: Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
authors.forename: Vanesa
authors.initials: V
authors.lastname: Ojeda
authors.affiliation: Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
authors.forename: Maria Guerra
authors.initials: MG
authors.lastname: Del Rio
keywords: Ampullary adenoma; Endoscopic ampullectomy; Endoscopic ultrasound; Pancreatitis; Papillary tumors