학술논문
Two Cases of Hemorrhagic Ampullary Lesions Successfully Treated by Endoscopic Papillectomy
Document Type
Journal Article
Author
Atsushi Sofuni; Hidehito Honda; Hirohito Minami; Hiroyuki Kojima; Jun Matsubayashi; Katsutoshi Sugimoto; Kazumasa Nagai; Kenjiro Yamamoto; Kentaro Ishii; Noriyuki Hirakawa; Reina Tanaka; Ryosuke Nakatsubo; Ryosuke Tonozuka; Shuntaro Mukai; Takao Itoi; Takashi Kurosawa; Takayoshi Tsuchiya; Toshihiro Homma; Yasutsugu Asai; Yoshihiro Furuichi; Yukitoshi Matsunami
Source
Internal Medicine. 2022, 61(12):1843
Subject
Language
English
ISSN
0918-2918
1349-7235
1349-7235
Abstract
We herein report two cases of hemorrhagic ampullary lesions in which endoscopic papillotomy was performed to control bleeding and resulted in successful treatment. Both patients were pathologically diagnosed with an underlying pathology characterized by inflammatory cell infiltration and capillary proliferation. They also had disposing factors for bleeding, such as antithrombotic therapy and idiopathic thrombocytopenic purpura. Endoscopic treatment was selected because the risk of surgical resection was high due to the patients' hemorrhagic condition. Both patients were successfully treated without any serious adverse events and had an uneventful postoperative course with no relapse of bleeding.