Endoscopic Ampullectomy with Endo-pancreatic Radio-frequency Ablation for an Ampullary Adenoma with Pancreatic Dutal Extension

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Text A 60 years old male with prior decompensated cirrhosis due to ethanol presented with new onset obstructive jaundice and cholangitis. Imaging showed bile duct obstruction at its lower end. Endoscopic ultrasound showed ampullary mass. ERCP with CBD stenting with ampullary biopsy was done. Histopathology showed tubular adenoma. Endoscopic ampullectomy was performed. Post-procedure pancreatogram showed pancreatic ductal extension. This was confirmed by pancreatoscopy. Endoscopic radio-frequency ablation was performed, and follow-up pancreatoscopy three months later showed no ampullary mass or intra-ductal lesion. The patient was asymptomatic. There was no decompensation of liver diease [ 1 ]. Publication History Article published online: 14 April 2023 © 2023. European Society of Gastrointestinal Endoscopy. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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