The National Scientific Center of Surgery and Transplantation named after A.A. Shalimov successfully removed a tumor of a large duodenal papilla measuring 2.5 * 3.7 cm. The patient underwent an endoscopic polypectomy with endobiliary stenting, according to UNN.
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According to the Center, adenomas of the large duodenal papilla are quite rare and account for 1% of all gastrointestinal neoplasms. At the same time, the frequency of malignization (transition to malignancy) of adenomas reaches 30-65%. The only treatment is surgical intervention
Today , endoscopic papilectomy is a modern and minimally invasive method of treating benign tumors of the duodenal papilla
The Center reported that the patient underwent endoscopic loop resection of the tumor in a single block under general anesthesia, followed by argon plasma ablation of the periampullary zone.
"Taking into account the prolonged cholangitis, selective cannulation of the common bile duct was performed and a temporary plastic endobiliary stent was installed to ensure adequate outflow of infected bile," the doctors said.
After the operation, the patient was immediately transferred to a specialized clinical department, and on the fifth day she was discharged in a satisfactory condition. The postoperative period was uneventful, the doctors added.
After some time, the patient will visit the Center to have the stent removed and will periodically come for follow-up examinations.