Endoscopic wire-guided papillectomy versus conventional papillectomy for ampullary tumors: A prospective comparative pilot study
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Tae Yoon | - |
dc.contributor.author | Cheon, Young Koog | - |
dc.contributor.author | Shim, Chan Sup | - |
dc.contributor.author | Choi, Hyun Jong | - |
dc.contributor.author | Moon, Jong Ho | - |
dc.contributor.author | Choi, Jung Sik | - |
dc.contributor.author | Oh, Hyoung-Chul | - |
dc.date.available | 2019-03-08T13:36:19Z | - |
dc.date.issued | 2016-04 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.issn | 1440-1746 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/7102 | - |
dc.description.abstract | Background and Aim:A major concern about endoscopic snare papillectomy (ESP) is the risk of procedure-related pancreatitis. To maintain pancreatic duct access for stent placement after ESP, wire-guided ESP (WP) was introduced. The aim of the study was to compare post-procedure pancreatitis rates, the success rate of pancreatic stent insertion, and complete resection rates between WP and conventional ESP (CP) procedures. Methods:This was a multi-center, prospective, randomized pilot study. Forty-five patients with ampullary tumors were randomly assigned to a WP group (n=22) or a CP group (n=23). In the WP group, a guidewire was placed in the pancreatic duct prior to ESP. A 5-Fr pancreatic stent was passed over the guidewire and placed across the pancreatic duct orifice. Results:Complete resection was achieved in 20 patients (91%) in the WP group and 18 patients (78%) in the CP group (P=0.414). A pancreatic stent was placed successfully in all patients in the WP group but in only 15 patients (65%) in the CP group (P=0.004). Post-papillectomy pancreatitis occurred in four (18%) patients in the WP and three (13%) patients in the CP groups (P=0.960). In the CP group, three of eight (37.5%) patients without stents developed pancreatitis compared with zero of 15 patients with stents (P=0.032). Conclusions:The WP method is a useful technique used to insert a pancreatic stent after ESP, compared with CP. However, there was no significant difference in the post-procedure pancreatitis or complete resection rates between the two methods. | - |
dc.format.extent | 6 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY | - |
dc.title | Endoscopic wire-guided papillectomy versus conventional papillectomy for ampullary tumors: A prospective comparative pilot study | - |
dc.type | Article | - |
dc.identifier.doi | 10.1111/jgh.13205 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, v.31, no.4, pp 897 - 902 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 000374702700031 | - |
dc.identifier.scopusid | 2-s2.0-84963857376 | - |
dc.citation.endPage | 902 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 897 | - |
dc.citation.title | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.citation.volume | 31 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | ampullary tumor | - |
dc.subject.keywordAuthor | endoscopic papillectomy | - |
dc.subject.keywordAuthor | pancreatic stent | - |
dc.subject.keywordAuthor | pancreatitis | - |
dc.subject.keywordPlus | PANCREATIC STENT PLACEMENT | - |
dc.subject.keywordPlus | MAJOR DUODENAL PAPILLA | - |
dc.subject.keywordPlus | SNARE EXCISION | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | ADENOMA | - |
dc.subject.keywordPlus | VATER | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | CARCINOMA | - |
dc.subject.keywordPlus | CANCER | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.description.journalRegisteredClass | sci | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
84, Heukseok-ro, Dongjak-gu, Seoul, Republic of Korea (06974)02-820-6194
COPYRIGHT 2019 Chung-Ang University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.