Endoscopic resection of a periampullary duodenal paraganglioma

Q3 Medicine

VideoGIE Pub Date : 2026-10-01 Epub Date: 2026-05-06 DOI:10.1016/j.vgie.2026.04.052

Anand R. Kumar MD, MPH, FASGE, Robert Coben MD, Wei Jiang MD, Thomas Kowalski MD

引用次数: 0

Abstract

Background and Aims

Periampullary subepithelial lesions are generally removed by surgery. We demonstrate a video of endoscopic resection of a periampullary duodenal paraganglioma.

Methods

A combination of ERCP and endoscopic submucosal dissection skills was used to facilitate separation of the subepithelial lesion from the ampulla and lesion resection.

Results

En bloc resection with negative margins was achieved. Pathology confirmed a gangliocytic paraganglioma.

Conclusions

Endoscopic resection is a feasible and less-invasive alternative to pancreaticoduodenectomy for selected periampullary subepithelial lesions.

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内镜下壶腹周围十二指肠副神经节瘤切除术

背景和目的腹腹部上皮下病变通常通过手术切除。我们展示一段内镜下切除壶腹周围十二指肠副神经节瘤的视频。方法结合ERCP和内镜下粘膜剥离技术，使上皮下病变与壶腹分离并切除病变。结果全组切除，切缘阴性。病理证实为神经节细胞副神经节瘤。结论对于壶腹周围上皮下病变，内镜切除是胰十二指肠切除术的一种可行且微创的治疗方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

VideoGIE Medicine-Gastroenterology

CiteScore

1.50

自引率

0.00%

发文量

132

审稿时长

105 days

期刊介绍： VideoGIE, an official video journal of the American Society for Gastrointestinal Endoscopy, is an Open Access, online-only journal to serve patients with digestive diseases. VideoGIE publishes original, single-blinded peer-reviewed video case reports and case series of endoscopic procedures used in the study, diagnosis, and treatment of digestive diseases. Videos demonstrate use of endoscopic systems, devices, and techniques; report outcomes of endoscopic interventions; and educate physicians and patients about gastrointestinal endoscopy. VideoGIE serves the educational needs of endoscopists in training as well as advanced endoscopists, endoscopy staff and industry, and patients. VideoGIE brings video commentaries from experts, legends, committees, and leadership of the society. Careful adherence to submission guidelines will avoid unnecessary delays, as incomplete submissions may be returned to the authors before initiation of the peer review process.