The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla.
<h4>Objectives</h4>Although endoscopic papillectomy is useful for treating papillary tumors, it is associated with a high rate of complications including pancreatitis; therefore, safer treatment options are needed. We examined the utility of wire-guided endoscopic papillectomy by compari...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2019-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0211019 |
| _version_ | 1818726504601747456 |
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| author | Masanori Kobayashi Shomei Ryozawa Hirotoshi Iwano Ryuichiro Araki Yuki Tanisaka Akashi Fujita Tsutomu Kobatake |
| author_facet | Masanori Kobayashi Shomei Ryozawa Hirotoshi Iwano Ryuichiro Araki Yuki Tanisaka Akashi Fujita Tsutomu Kobatake |
| author_sort | Masanori Kobayashi |
| collection | DOAJ |
| description | <h4>Objectives</h4>Although endoscopic papillectomy is useful for treating papillary tumors, it is associated with a high rate of complications including pancreatitis; therefore, safer treatment options are needed. We examined the utility of wire-guided endoscopic papillectomy by comparing the pancreatic duct stenting and pancreatitis rates before and after wire-guided endoscopic papillectomy was introduced at our institution.<h4>Methods</h4>We retrospectively examined the data from 16 consecutive patients who underwent conventional endoscopic papillectomy between November 1995 and July 2005 and the data from 33 patients in whom wire-guided endoscopic papillectomy was first attempted at our institution between August 2005 and April 2017. We compared the pancreatic duct stenting and pancreatitis rates between the two groups.<h4>Results</h4>Of the 33 patients in whom wire-guided endoscopic papillectomy was first attempted, the procedure was completed in 21. Pancreatic duct stenting was possible in 30 of the 33 patients in whom wire-guided endoscopic papillectomy was attempted (91%), and this rate was significantly higher than that before the introduction of wire-guided endoscopic papillectomy (68.8%). The incidence of pancreatitis before the introduction of wire-guided endoscopic papillectomy was 12.5%, but after August 2005, the incidence was reduced by half to 6.1%, which includes those patients in whom wire-guided endoscopic papillectomy could not be completed.<h4>Conclusions</h4>Although wire-guided endoscopic papillectomy cannot be completed in some patients, we believe that this method shows some potential for reducing the total incidence of post-endoscopic papillectomy pancreatitis owing to more successful pancreatic duct stenting. |
| first_indexed | 2024-12-17T21:59:15Z |
| format | Article |
| id | doaj.art-65e8a1cf6b1543a28fd5f87af77a7303 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-17T21:59:15Z |
| publishDate | 2019-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-65e8a1cf6b1543a28fd5f87af77a73032022-12-21T21:31:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01141e021101910.1371/journal.pone.0211019The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla.Masanori KobayashiShomei RyozawaHirotoshi IwanoRyuichiro ArakiYuki TanisakaAkashi FujitaTsutomu Kobatake<h4>Objectives</h4>Although endoscopic papillectomy is useful for treating papillary tumors, it is associated with a high rate of complications including pancreatitis; therefore, safer treatment options are needed. We examined the utility of wire-guided endoscopic papillectomy by comparing the pancreatic duct stenting and pancreatitis rates before and after wire-guided endoscopic papillectomy was introduced at our institution.<h4>Methods</h4>We retrospectively examined the data from 16 consecutive patients who underwent conventional endoscopic papillectomy between November 1995 and July 2005 and the data from 33 patients in whom wire-guided endoscopic papillectomy was first attempted at our institution between August 2005 and April 2017. We compared the pancreatic duct stenting and pancreatitis rates between the two groups.<h4>Results</h4>Of the 33 patients in whom wire-guided endoscopic papillectomy was first attempted, the procedure was completed in 21. Pancreatic duct stenting was possible in 30 of the 33 patients in whom wire-guided endoscopic papillectomy was attempted (91%), and this rate was significantly higher than that before the introduction of wire-guided endoscopic papillectomy (68.8%). The incidence of pancreatitis before the introduction of wire-guided endoscopic papillectomy was 12.5%, but after August 2005, the incidence was reduced by half to 6.1%, which includes those patients in whom wire-guided endoscopic papillectomy could not be completed.<h4>Conclusions</h4>Although wire-guided endoscopic papillectomy cannot be completed in some patients, we believe that this method shows some potential for reducing the total incidence of post-endoscopic papillectomy pancreatitis owing to more successful pancreatic duct stenting.https://doi.org/10.1371/journal.pone.0211019 |
| spellingShingle | Masanori Kobayashi Shomei Ryozawa Hirotoshi Iwano Ryuichiro Araki Yuki Tanisaka Akashi Fujita Tsutomu Kobatake The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. PLoS ONE |
| title | The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. |
| title_full | The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. |
| title_fullStr | The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. |
| title_full_unstemmed | The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. |
| title_short | The usefulness of wire-guided endoscopic snare papillectomy for tumors of the major duodenal papilla. |
| title_sort | usefulness of wire guided endoscopic snare papillectomy for tumors of the major duodenal papilla |
| url | https://doi.org/10.1371/journal.pone.0211019 |
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