Espinel Jesús, Pinedo Eugenia, Ojeda Vanesa, Del Rio Maria Guerra
Jesús Espinel, Department of Digestive Diseases, Hospital Universitario de León, 24071 León, Spain.
World J Methodol. 2015 Sep 26;5(3):127-35. doi: 10.5662/wjm.v5.i3.127.
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.
Vater壶腹病变是一组少见的胃肠道恶性肿瘤。Vater壶腹的大多数病变为腺瘤或腺癌。壶腹病变常为偶然发现。准确的壶腹肿瘤术前诊断和分期对于预测预后及确定最合适的治疗方法至关重要。内镜下壶腹切除术是一种安全有效的治疗方法，可避免可能需要的重大手术干预。本综述将从执业胃肠病学家的角度提供壶腹病变诊断和管理的框架。本文介绍了安全、成功实施内镜下壶腹切除术的策略，重点关注准确的术前诊断和分期、切除技术及并发症的处理。
