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Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct

We present a case of a 76-year-old man with right upper quadrant abdominal pain and weight loss, who was found to have an intraductal papillary neoplasm of the bile duct (IPNB) of the pancreaticobiliary subtype, deemed curatively resectable. The patient declined surgery and opted for endoscopic ther...

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Autores principales: Natov, Nikola S, Horton, Laura C, Hegde, Sanjay R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437390/
https://www.ncbi.nlm.nih.gov/pubmed/28572878
http://dx.doi.org/10.4253/wjge.v9.i5.238
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author Natov, Nikola S
Horton, Laura C
Hegde, Sanjay R
author_facet Natov, Nikola S
Horton, Laura C
Hegde, Sanjay R
author_sort Natov, Nikola S
collection PubMed
description We present a case of a 76-year-old man with right upper quadrant abdominal pain and weight loss, who was found to have an intraductal papillary neoplasm of the bile duct (IPNB) of the pancreaticobiliary subtype, deemed curatively resectable. The patient declined surgery and opted for endoscopic therapy. He underwent two sessions of endoscopic retrograde cholangiopancreatography (ERCP)-guided radiofrequency ablation (RFA). Ten months later, no evidence of recurrence was identified on repeat ERCP. To our knowledge, this is the first reported case of successful use of RFA as a primary treatment modality for resectable IPNB.
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spelling pubmed-54373902017-06-01 Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct Natov, Nikola S Horton, Laura C Hegde, Sanjay R World J Gastrointest Endosc Case Report We present a case of a 76-year-old man with right upper quadrant abdominal pain and weight loss, who was found to have an intraductal papillary neoplasm of the bile duct (IPNB) of the pancreaticobiliary subtype, deemed curatively resectable. The patient declined surgery and opted for endoscopic therapy. He underwent two sessions of endoscopic retrograde cholangiopancreatography (ERCP)-guided radiofrequency ablation (RFA). Ten months later, no evidence of recurrence was identified on repeat ERCP. To our knowledge, this is the first reported case of successful use of RFA as a primary treatment modality for resectable IPNB. Baishideng Publishing Group Inc 2017-05-16 2017-05-16 /pmc/articles/PMC5437390/ /pubmed/28572878 http://dx.doi.org/10.4253/wjge.v9.i5.238 Text en ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
spellingShingle Case Report
Natov, Nikola S
Horton, Laura C
Hegde, Sanjay R
Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title_full Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title_fullStr Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title_full_unstemmed Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title_short Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
title_sort successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437390/
https://www.ncbi.nlm.nih.gov/pubmed/28572878
http://dx.doi.org/10.4253/wjge.v9.i5.238
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