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
© Georg Thieme Verlag KG Stuttgart · New York

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

E Pijoan
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
S Bazaga
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
M Pérez
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
I Miguel
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
G Torres
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
N Zaragoza
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
T Revuelto
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
R Ballester
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
JM Reñe
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
,
F Gonzalez-Huix
1   Hospital Universitari Arnau de Vilanova, Lleida, Spain
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Publikationsdatum:
23. April 2020 (online)

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    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.