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- W2271658970 abstract "A 21-year-old man with attenuated familial adenomatous polyposis (FAP) was found on routine surveillance EGD to have an adenomatous lesion at the major papilla. Biopsies of the lesion revealed a tubular adenoma with low-grade dysplasia. The patient was referred for endoscopic ampullectomy. An EUS performed before ampullectomy showed a 30-mm lesion without associated adenopathy or deep invasion (A). At the same examination it was noted that there was a 12-mm adenomatous growth on the minor papilla (B). Biopsies of this lesion revealed a tubular adenoma with low-grade dysplasia, and EUS showed no deep invasion. Both lesions were removed by performing major and minor sphincterotomies, saline solution lift injection, and hot snare ampullectomy, with biliary and pancreatic duct stent placements (C and D). There were no adverse events from the ampullectomies. Although major papilla adenomatous lesions are common (especially in patients with FAP), minor papilla adenomas are exceptionally rare, even in patients with FAP. This may be the first case of simultaneous major and minor papilla adenomas reported. This case also shows that major and minor ampullectomies can be performed safely in short order." @default.
- W2271658970 created "2016-06-24" @default.
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- W2271658970 date "2016-11-01" @default.
- W2271658970 modified "2023-10-18" @default.
- W2271658970 title "Endoscopic ampullectomy of simultaneous major and minor papilla adenomas in a patient with attenuated familial adenomatous polyposis" @default.
- W2271658970 doi "https://doi.org/10.1016/j.gie.2016.01.058" @default.
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