Korean J Gastrointest Endosc > Volume 33(4); 2006 > Article
Korean Journal of Gastrointestinal Endoscopy 2006;33(4): 253-256.
내시경 유두절제술로 치료한 십이지장 유두암 1예
연세대학교 의과대학 내과학교실, *서울적십자병원 내과
A Case of Ampullary Carcinoma Managed with Endoscopic Snare Ampullectomy
Kyu Chul Lee, M.D.* and Dong Ki Lee, M.D.
Department of Internal Medicine, Yonsei University College of Medicine, *Department of Internal Medicine, Seoul Red Cross Hospital, Seoul, Korea
The ampullary carcinoma is a rare disease that occurs in approximately 0.2% of all gastrointestinal carcinomas and in 7% of all periampullary carcinomas. The clinical manifestations of ampullary carcinoma are anorexia, nausea, vomiting, jaundice, itching, abdominal pain, diarrhea, etc. When discovered, approximately 80% of cases are operable because of the rare regional invasion of the tumor. The 5-year survival rate after surgery is approximately 35%, but closer to 0% without surgery. Therefore the treatment of choice is surgery (pancreaticoduodenec- tomy, Whipple's operation). However, less invasive procedures are needed for patients in poor general condition, old age, and those who refuse surgery. We report a case of an ampullary carcinoma in which an endoscopic snare ampullectomy was performed as a second option after the patient refused surgery. (Korean J Gastrointest Endosc 2006;33:253⁣256)
Key Words: Ampullary cancer, Endoscopic snare resection of ampulla
주요어: 십이지장 유두암, 내시경 유두 절제술
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