Endoscopic papillectomy 🤜🤛 Surgical ampullectomy for adenomas and early cancers of the papilla 🍄 @bmj.com Gut

🔦 Endoscopy 16% recurrence after RO; after PSM 72% R0 (vs. 90% of surgery)

🤝 Survival comparable / multiple treatments necessary for endoscopy

gut.bmj.com/content/earl...

#PancreasSky

Transduodenal ampullectomy proves effective for unexplained duct dilation

by Wang W, Wang J (...) Wang J et 3 al. in Eur J Med Res #Surgery #SurgSky #generalsurgery #MedSky

🪡 read our summary here
📖 read the article: https://eurjmedres.biomedcentral.com/articles/10.1186/s40001-024-02144-4

Thanks to Michele Montori, co-editor of the ESGE Academy Working Group for providing the content of this post.

#ERCP #Ampulla #Endoscopy #GIEndoscopy #Pancreatobiliary #ESGEAcademy #OpticalDiagnosis #EUS #Ampullectomy

3️⃣ Combine modalities: ERCP complements but doesn’t replace EUS and cross-sectional imaging.
4️⃣ Decide wisely: ampullectomy, surgery, or surveillance — based on accurate recognition.