Endoscopic Diagnosis and Treatment of Ampullary and Duodenal Adenomas

A new ASGE guideline provides recommendations on endoscopic approaches in selected patients with ampullary and duodenal adenomas.

Sponsoring Organization: American Society for Gastrointestinal Endoscopy (ASGE)

Target Audience: Gastrointestinal endoscopists

Background and Objective

Ampullary adenomas occur sporadically or as part of a genetic cancer syndrome. Increased genetic testing and subsequent endoscopic screening of high-risk patients has increased recognition of these lesions, while technological advances in both endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) have created an alternative to surgery.

Key Recommendations

Evaluate biopsies of ampullary lesions for the degree of neoplasia prior to attempting endoscopic resection.
Perform EUS to evaluate large ampullary or duodenal lesions prior to endoscopic or surgical resection.
Use…

Reviewing Author

David J. Bjorkman, MD, MSPH (HSA), SM (Epid.)

Disclosures

Nothing to disclose