ENDOSCOPIC PAPILLECTOMY

Experience of performance of endoscopic papillectomy in 7 patients, suffering benign tumors of duodenal papilla magna, was adduced. The tumors were revealed while conducting endoscopic retrograde pancreatocholangiography, the diagnosis was verified, basing on morphological investigation data on the biopsy material. Endoscopic ultra-sonographic investigation was conducted with the objective to reveal the process spread. While intestinal extramucosal tumoral spread on a distal part common biliary duct, pancreatic duct the endoscopic papillectomy is contraindicated. In 4 (57.1%) patients endoscopic papillectomy was performed in accordance to method of the loop electroexcision, and in 3 (42.9%)--in accordance to the method, elaborated in the clinic.