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Budzinskiy S.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Shapovaliants S.G.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Aliev D.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Sokolov S.A.

Moscow City Oncology Hospital No. 62

Vorobyeva E.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Murashkina M.V.

Pirogov Russian National Research Medical University

Fedorov E.D.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Endoscopic diagnosis and treatment of a patient with giant adenoma of major duodenal papilla

Authors:

Budzinskiy S.A., Shapovaliants S.G., Aliev D.A., Sokolov S.A., Vorobyeva E.A., Murashkina M.V., Fedorov E.D.

More about the authors

Journal: Endoscopic Surgery. 2026;32(1): 54‑59

DOI: 10.17116/endoskop20263201154

Read: 498 times

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Table of contents

ENDOSCOPIC DIAGNOSIS AND TREATMENT OF A PATIENT WITH GIANT ADENOMA OF MAJOR DUODENAL PAPILLA
ENDOSCOPIC DIAGNOSIS AND TREATMENT OF A PATIENT WITH GIANT ADENOMA OF MAJOR DUODENAL PAPILLA

To cite this article:

Budzinskiy SA, Shapovaliants SG, Aliev DA, Sokolov SA, Vorobyeva EA, Murashkina MV, Fedorov ED. Endoscopic diagnosis and treatment of a patient with giant adenoma of major duodenal papilla. Endoscopic Surgery. 2026;32(1):54‑59. (In Russ.)
https://doi.org/10.17116/endoskop20263201154

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Endoscopic papillectomy is currently the “gold standard” for adenomas of major duodenal papilla treatment. However, the surgical approach is also valid in the following situations: presence of atypical cells in T1 and advanced tumor stages, intraductal lesion extending more than 20 mm; impossibility to perform endoscopic papillectomy due to technical difficulties (e.g., duodenal diverticulum, tumor mass size more than 4 cm); incomplete resection after previous endoscopic papillectomy with tumor cells present on the resection margins; adenoma recurrence not responding to repeated endoscopic therapy. This article presents a clinical case of successful endoscopic treatment of major duodenal papilla adenoma extending beyond the conventional limits of duodenal wall involvement.

Keywords:

major duodenal papilla adenoma
endoscopic papillectomy
radiofrequency ablation

Authors:

Budzinskiy S.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Shapovaliants S.G.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Aliev D.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Sokolov S.A.

Moscow City Oncology Hospital No. 62

Vorobyeva E.A.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Murashkina M.V.

Pirogov Russian National Research Medical University

Fedorov E.D.

Pirogov Russian National Research Medical University;
Academic Savelieva City Clinical Hospital No.31

Received:

27.01.2025

Accepted:

10.02.2025

Close metadata

References:

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  2. Nedoluzhko IY, Khon EI, Shishin KV, et al. Endoscopic treatment of benign ampullary tumors. Dokazatel’naya gastroenterologiya. 2021;10(4):67-74. (In Russ.). https://doi.org/10.17116/dokgastro20211004167
  3. Vanbiervliet G, Strijker M, Arvanitakis M, et al. Endoscopic management of ampullary tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy. 2021;53(04):429-448.  https://doi.org/10.1055/a-1397-3198
  4. Gaspar JP, Stelow EB, Wang AY. Approach to the endoscopic resection of duodenal lesions. World J Gastroenterol. 2016;22(2):600-617.  https://doi.org/10.3748/wjg.v22.i2.600
  5. Van Dyke AL, Shiels MS, Jones GS, et al. Biliary tract cancer incidence and trends in the United States by demographic group, 1999-2013. Cancer. 2019;125(9):1489-1498. https://doi.org/10.1002/cncr.31942
  6. Kang SH, Kim KH, Kim TN, et al. Therapeutic outcomes of endoscopic papillectomy for ampullary neoplasms: retrospective analysis of a multicenter study. BMC Gastroenterology. 2017;17(1):69.  https://doi.org/10.1186/s12876-017-0626-5
  7. Kubyishkin V.A. Periampullary tumors. Pacific Medical Journal. 2009;(2):53-56. (In Russ.).
  8. Mendonça EQ, Bernardo WM, Moura EG, et al. Endoscopic versus surgical treatment of ampullary adenomas: a systematic review and meta-analysis. Clinics (Sao Paulo). 2016;71(1):28-35.  https://doi.org/10.6061/clinics/2016(01)06
  9. Suzuki K, Kantou U, Murakami Y. Two cases with ampullary cancer who underwent endosopic excision. Progress Digest Endosc. 1983;(23):236-239. 
  10. Binmoeller KF, Boaventura S, Ramsperger K, Soehendra N. Endoscopic snare excision of benign adenomas of the papilla of Vater. Gastrointest Endosc. 1993;39(2):127-131.  https://doi.org/10.1016/s0016-5107(93)70051-6
  11. Nedoluzhko IYu, Khon EI, Shishin KV. Endoscopic papillectomy for tumors of the major duodenal papilla. Annaly khirurgicheskoy gepatologii. 2019;24 (1):36-42. (In Russ.). https://doi.org/10.16931/1995-5464.2019136-42
  12. Starkov YuG, Vagapov AI, Zamolodchikov RD, Dzhantukhanova SV. Endoscopic classification of major duodenal papilla adenomas. Annaly khirurgicheskoy gepatologii. 2024;29(1):12-20. (In Russ.). https://doi.org/10.16931/1995-5464.2024-1-12-20
  13. Starkov YuG, Vagapov AI, Zamolodchikov RD, Dzantukhanova SV. Intraductal radiofrequency ablation for neoplasms of the major duodenal papilla with intraductal spread. Pirogov Russian Journal of Surgery. 2024;6:5-14. (In Russ.). https://doi.org/10.17116/hirurgia20240615
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