Year 2020 / Volume 112 / Number 6
Digestive Diseases Image
A rare case of acute cholangitis after endoscopic ampullectomy

503-504

DOI: 10.17235/reed.2020.6653/2019

María Pilar Ballester Ferre, Vicente Sánchiz, Fernando Sábado, Andrés Peña,

Abstract
Endoscopic ampullectomy is indicated for the resection of non-invasive papillary adenomas in selected patients. Cholangitis is an uncommon complication (0-2%) that may be secondary to contamination during the procedure, poor emptying of the bile duct and prosthesis dysfunction or migration. Placement of a prophylactic biliary stent after the resection is not well established. We present a rare case of acute cholangitis after endoscopic ampullectomy secondary to a biliary prosthesis obstruction, due to a pancreatic prosthesis intrusion.
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References
1. Espinel J, Pinedo E, Ojeda V et al. Endoscopic ampullectomy: a technical review. Rev Esp Enferm Dig, 2016 May;108(5):271-8. doi: 10.17235/reed.2016.3867/2015.
2. Tran TC, Vitale GC. Ampullary tumors: endoscopic versus operative management. Surg Innov, 2004;11:255-63.
3. ASGE Standards of Practice Committee, Chathadi KV, Khashab MA et al. The role of endoscopy in ampullary and duodenal adenomas. Gastrointest Endosc, 2015 Nov;82(5):773-81. doi: 10.1016/j.gie.2015.06.027.
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Ballester Ferre M, Sánchiz V, Sábado F, Peña A. A rare case of acute cholangitis after endoscopic ampullectomy. 6653/2019


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Publication history

Received: 29/09/2019

Accepted: 07/10/2019

Online First: 26/05/2020

Published: 08/06/2020

Article Online First time: 240 days

Article editing time: 253 days


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