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Articles Published Processes
9/15/2014 8:54:00 PM | Browse: 1208 | Download: 983
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Received |
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2012-10-18 09:02 |
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Peer-Review Started |
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2012-10-18 14:09 |
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To Make the First Decision |
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2012-11-08 10:53 |
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Return for Revision |
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2013-02-01 10:15 |
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Revised |
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Second Decision |
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2013-04-15 16:26 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2013-04-16 07:48 |
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Articles in Press |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2013-07-03 11:43 |
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Publish the Manuscript Online |
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2013-07-20 20:47 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Autobiography |
Article Title |
Endoscopic papillectomy: Data of a prospective observational study
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Manuscript Source |
Invited Manuscript |
All Author List |
Uwe Will, Anne-Kathrin Müller, Frank Fueldner, Igor Wanzar and Frank Meyer |
Funding Agency and Grant Number |
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Corresponding Author |
Uwe Will, MD, Professor, Department of Gastroenterology, Municipal Hospital, Strasse des Friedens 122, D-07548 Gera, Germany. uwe.will@wkg.srh.de |
Key Words |
Adenomyomatosis; Carcinoid-like tumor; Carcinoma; Adenoma; Endoscopic ultrasonography; Papillectomy; Papilla of Vater |
Core Tip |
Taken together, endoscopic ultrasonography is an essential and sufficient diagnostic tool and plays an eminent role in the diagnostic spectrum to preoperatively clarify lesions and diseases of the papilla in conjunction with the competent postinterventional histopathological investigation of a specimen. Endoscopic papillectomy with curative intention is a feasible and safe approach to treat adenomas of the papilla, i.e., it is only reasonable if there is no infiltrating tumor growth. In high-risk patients with carcinoma of the papilla but no hints of deep infiltrating tumor growth, endoscopic papillectomy can be considered a reasonable treatment option with reduced risk and an approximately 80% probability of no recurrence if an R0 resection can be achieved. In patients with jaundice and in case the catheter can not be introduced into the papilla, papillectomy may help to get access to the bile duct to avoid more traumatic surgery. Endoscopic papillectomy is therefore not only used for therapeutic but also for diagnostic purpose. There is a high clinical value of endoscopic papillectomy for well defined indications not only for adenoma but also for carcinoma/neuroendocrine tumor/lymphoma (uT1 and high-risk patient), and adenomyomatosis. Follow-up investigations according to a defined schedule appear to be reasonable including macroscopic assessment, taking a representative biopsy and subsequent histopathological investigation. In addition, continuous systematic investigation of endoscopic papillectomy in daily clinical practice is indicated for the purpose of quality assurance. |
Publish Date |
2013-07-20 20:47 |
Citation |
Will U, Müller AK, Fueldner F, Wanzar I, Meyer F. Endoscopic papillectomy: Data of a prospective observational study. World J Gastroenterol 2013; 19(27): 4316-4324 |
URL |
http://www.wjgnet.com/1007-9327/full/v19/i27/4316.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v19.i27.4316 |
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