Clinical practice guidelines for endoscopic papillectomy
Takao Itoi, Shomei Ryozawa, Akio Katanuma, Hiroki Kawashima, Eisuke Iwasaki, Shinichi Hashimoto, Kenjiro Yamamoto, Toshiharu Ueki, Yoshinori Igarashi, Kazuo Inui, Naotaka Fujita, Kazuma Fujimoto
Abstract
The Japan Gastroenterological Endoscopy Society has developed the "Clinical Practice Guidelines for Endoscopic Papillectomy (EP)" as a fundamental guideline using scientific approach. EP is a recently spreading therapeutic modality for ampullary tumors ranked as high risk endoscopic technique. Because of the paucity of high level of evidence, strength of recommendations had to be determined by a consensus among specialists. These guidelines, shed light on the following five issues: Indications, Preoperative/intraoperative preparations and techniques, Early adverse events, Therapeutic outcomes and remnants/recurrences, and Follow-up and late adverse events, to guide current clinical practice on EP.