@entity5 of the ampulla of Vater, including @entity652 , has been improved by routine screening endoscopic procedures and imaging modalities. Endoscopic resection by endoscopic papillectomy is rapidly replacing classic surgical resection and is a less invasive procedure. Endoscopic resection can have a role not only in the final histopathologic diagnosis but also as a definite therapeutic option. However, the indications for endoscopic resection are not fully established, and endoscopic procedures are not standardized. Significant complications, including severe @entity788 , intractable @entity548 and duodenal perforation, are rare but can occur, especially in less experienced hands. Severe @entity788 is the most feared complication, but it can be prevented by pancreatic duct stent insertion in most cases. However, in some cases, pancreatic stenting can be challenging after resection. Incomplete resections are sometimes performed to avoid complications. Endoscopic surveillance is also important for identifying and managing remnant adenomatous tissue or recurrent lesions. Further technical development is needed to expand the indications for this procedure, minimize complications and ensure a high success rate.

Current status of endoscopic papillectomy for XXXX .

@entity5 :: ('MESH:D009369', 'Disease') :: ['Detection of tumors'] @entity652 :: ('MESH:D000236', 'Disease') :: ['ampullary adenoma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity788 :: ('MESH:D010190', 'Disease') :: ['pancreatitis']
@entity5 :: (MESH:D009369,Disease) :: ['ampullary tumors']
