Treatment of Ampullary Adenoma Without Intraductal Extension
Clinical scenario
This protocol addresses patients with ampullary adenoma in whom intraductal extension has been excluded — a critical distinction that shapes the choice of intervention. Confirming the absence of intraductal involvement is central to establishing eligibility for endoscopic management.
Treatment approach
For ampullary adenoma without intraductal extension, endoscopic papillectomy is the recommended primary intervention. The structured approach involves specific resection technique and patient preparation steps, including measures to reduce procedural risk — with the full sequence, indications, and procedural detail available in the complete protocol.
Full regimen details, including resection method and complication-prevention strategies, are in the structured protocol below.