内窥镜乳头切除术：“为意外做好准备”

IF 25.8 1区医学 Q1 GASTROENTEROLOGY & HEPATOLOGY

Gut Pub Date : 2025-09-09 DOI:10.1136/gutjnl-2025-335279

Livia Archibugi, Mohan Ramchandani, Priscilla Lopez, Anuradha Sekaran, Duvvur Nageshwar Reddy, Sundeep Lakhtakia

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引用次数: 0

摘要

一例老年患者出现消化不良症状。内镜评估，包括侧面评估，显示大壶腹，粘膜光滑，乳头开口偏心（图1和2）。超声内镜证实乳头内上皮下肿物29×16 mm，伴胆总管（12mm）和胰管（8mm）扩张（双管征）（在线补充视频）。病变局限于乳头，固有肌层完整，无导管浸润。内镜下圈套乳头切除术采用十二指肠镜。乳头切除后，在…中部发现一个大的缺损（6mm）。

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Endoscopic papillectomy: ‘be prepared for unexpected’

An elderly patient presented with dyspeptic symptoms. Endoscopic evaluation, including side-view evaluation, revealed a bulky major ampulla with smooth mucosa and eccentric papillary orifice opening (figures 1 and 2). Endoscopic ultrasound confirmed a 29×16 mm subepithelial mass lesion within the papilla, with dilation of both the common bile duct (12 mm) and pancreatic duct (PD) (8 mm) (double-duct sign) (online supplemental video). The lesion was limited to the papilla with intact muscularis propria and no ductal infiltration. Endoscopic snare papillectomy was performed using a duodenoscope. Immediately after the papillectomy, a large defect (6 mm) was identified in the central part of …

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来源期刊

Gut 医学-胃肠肝病学

CiteScore

45.70

自引率

2.40%

发文量

284

审稿时长

1.5 months

期刊介绍： Gut is a renowned international journal specializing in gastroenterology and hepatology, known for its high-quality clinical research covering the alimentary tract, liver, biliary tree, and pancreas. It offers authoritative and current coverage across all aspects of gastroenterology and hepatology, featuring articles on emerging disease mechanisms and innovative diagnostic and therapeutic approaches authored by leading experts. As the flagship journal of BMJ's gastroenterology portfolio, Gut is accompanied by two companion journals: Frontline Gastroenterology, focusing on education and practice-oriented papers, and BMJ Open Gastroenterology for open access original research.