Endoscopy in the diagnosis of papilla Vateri diseases. скачать в хорошем качестве

Endoscopy in the diagnosis of papilla Vateri diseases.

“ Endoscopy in the diagnosis of papilla Vateri diseases ” Lector: Dr. E.Solonitcin "School HPB surgery" Conference in Hospital No. 122 " (2014). Benign and malignant tumors of papilla Vateri are rare diagnoses in the endoscopic practice. Both ERCP and EUS are important tools in the evaluation and staging of ampullary adenomas and can assist in selecting candidates for endoscopic or surgical therapy. For malignant diseases surgical therapy should be considered if staging of tumor and general condition of the patient permits. In unresectable cases endoscopic palliation (papillotomy or polypectomy with or without drainage) can increase survival. In patients with benign tumors operative endoscopy followed by regular ultra-sonography and endoscopy seems to be necessary. Techniques of endoscopic removal of ampullary neoplasms are not standardized and should be performed by experienced endoscopists.