GIANT AMPULLOMA, RESECTION WITH HOT SNARE POLLIPECTOMY AND CLOSING WITH SHORT STEM CLIP

E Pijoan; S Bazaga; M Pérez; I Miguel; G Torres; N Zaragoza; T Revuelto; R Ballester; JM Reñe; F Gonzalez-Huix

doi:10.1055/s-0040-1704957

Endoscopy, Table of Contents

Endoscopy 2020; 52(S 01): S300
DOI: 10.1055/s-0040-1704957

ESGE Days 2020 ePoster presentations

Colon and rectum 09:00–17:00 Thursday, April 23, 2020 ePoster area

GIANT AMPULLOMA, RESECTION WITH HOT SNARE POLLIPECTOMY AND CLOSING WITH SHORT STEM CLIP

E Pijoan

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

S Bazaga

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

M Pérez

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

I Miguel

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

G Torres

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

N Zaragoza

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

T Revuelto

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

R Ballester

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

JM Reñe

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

,

F Gonzalez-Huix

¹Hospital Universitari Arnau de Vilanova, Lleida, Spain

› Author Affiliations

Abstract

Full Text

A 59-year-old woman underwent a routine gastroscopy showed a 5 cm polypoid lesion in papillary area. Performed a piece-meal resection in 2 pieces and recovered for histological examination. Pancreatic duct cannulated and 5Fx7 cm plastic stent placed. Bile duct cannulated and common bile duct dilatation of 12 mm without pathologic content and placed a 10 Fx5 cm plastic stent, with spontaneous bile outflow. After resection 2 visible nonbleeding vessels, placing a short stem clip in one and 2 large stem clips in the other and injecting adrenalin. Long stem clips can unwittingly release when using the duodenoscope elevator system. 9 months follow-up without lesion recurrence.