Insights and updates on endoscopic papillectomy

Kenjiro Yamamoto, Eisuke Iwasaki, Takao Itoi

Research output: Contribution to journalReview articlepeer-review

20 Citations (Scopus)


Introduction: Endoscopic papillectomy (EP) has been established as a useful endoscopic therapy by the efforts of many pancreatobiliary endoscopists and is presently accepted as a reliable alternative therapy to surgery in patients with ampullary adenoma. Moreover, there have been numerous advancements in EP techniques in recent years. Various approaches and attempts toward expanding the indications of endoscopic resection have been reported. Furthermore, the management and prevention of adverse events (AEs) and endoscopic treatment for remnant or recurrent lesions have also been reported. In the present review, we focus on recent advancements in the EP technique, as well as speculate on the future issues of EP. Area covered: This review of EP encompasses the indications, preoperative assessments, endoscopic techniques, outcomes, and AEs of EP, post-EP surveillance techniques, and treatments for remnant or recurrence lesions. Expert opinion: The ultimate goal of EP is the complete resection of ampullary tumors, regardless of whether they are adenomatous or carcinomatous lesions, without causing any AEs. Therefore, the most important issue is preoperative evaluation, that is, the accurate diagnosis of lesions contraindicated for EP. In addition, further research on the prevention of AEs is also necessary towards establishing EP as a safe endoscopic procedure.

Original languageEnglish
Pages (from-to)435-444
Number of pages10
JournalExpert Review of Gastroenterology and Hepatology
Issue number6
Publication statusPublished - 2020 Jun 2


  • Ampullary adenomas
  • ampullary carcinoma
  • endoscopic ablative therapy
  • endoscopic papillectomy
  • endoscopic ultrasonography
  • familial adenomatous polyposis
  • intraductal radiofrequency ablation
  • intraductal ultrasonography
  • post-EP pancreatitis
  • prophylactic pancreatic stent

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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