ArticleGastrointestinal endoscopy2015
Performance characteristics of EUS for locoregional evaluation of ampullary lesions.
Article in Gastrointestinal endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Endoscopic Management of Ampullary Adenomas: A Comprehensive Review.Journal of clinical medicine · 2025Review
- Pushing the Boundaries of Ampullectomy for Benign Ampullary Tumors: 25-Year Outcomes of Surgical Ampullary Resection Associated with Duodenectomy or Biliary Resection.Journal of clinical medicine · 2024Article
- The Role of Endoscopic Ultrasound in Ampullary Lesion Management.Diagnostics (Basel, Switzerland) · 2024Review
- Long-term follow-up of endoscopic papillectomy and the value of preventive pancreatic stent placement (with videos).Gastroenterology report · 2023Article
- Clinical outcomes: endoscopic resection of duodenal ampullary lesions.Translational gastroenterology and hepatology · 2023Article
- Surgical ampullectomy: A comprehensive review.World journal of gastrointestinal surgery · 2021Review
- Endoscopic papillectomy for ampullary adenomatous lesions: A literature review.World journal of gastrointestinal oncology · 2021Review
- A duodenal ampullary tumor with malignant transformation of papillary polyps: a case report and literature review.The Journal of international medical research · 2021Review
- Ampullary Adenocarcinoma: a Mini-Review and a Case Report of a Clinically Stable Disease Patient Treated with Herbal Supplements.Journal of gastrointestinal cancer · 2021Article
- The Long-Term Outcomes of Endoscopic Papillectomy and Management of Cases of Incomplete Resection: A Single-Center Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- [Characteristics of benign and malignant lesions of ampullary polyps and the accuracy of forceps biopsy].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2020Article
- Systematic Review with Meta-Analysis: Endoscopic and Surgical Resection for Ampullary Lesions.Journal of clinical medicine · 2020Review
- Choice of surgical procedures for patients with stage T1 carcinoma of the papilla of Vater: a retrospective study.Translational cancer research · 2020Article
- A Comprehensive Approach to the Management of Benign and Malignant Ampullary Lesions: Management in Hereditary and Sporadic Settings.Current gastroenterology reports · 2020Review
- Clinical outcomes of ampullary neoplasms in resected margin positive or uncertain cases after endoscopic papillectomy.World journal of gastroenterology · 2019Article
- Does ampullary adenoma size predict invasion on EUS? Does invasion on EUS predict presence of malignancy?Endoscopy international open · 2016Article
- EUS and ampullary adenoma: Why? When?Endoscopy international open · 2016Article
- Diagnostic accuracy of different imaging modalities following computed tomography (CT) scanning for assessing the resectability with curative intent in pancreatic and periampullary cancer.The Cochrane database of systematic reviews · 2016Review
- Approach to the endoscopic resection of duodenal lesions.World journal of gastroenterology · 2016Review
- Characteristic endoscopic ultrasound findings of ampullary lesions that predict the need for surgical excision or endoscopic ampullectomy.Endoscopic ultrasoundArticle
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11 authors.
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Abstract
backgroundThe accuracy of EUS in the locoregional assessment of ampullary lesions is unclear.
objectivesTo compare EUS with ERCP and surgical pathology for the evaluation of intraductal extension and local staging of ampullary lesions.
designRetrospective cohort study.
settingTertiary-care referral center. PATIENTS: All patients who underwent EUS primarily for the evaluation of an ampullary lesion between 1998 and 2012.
interventionEUS. MAIN OUTCOME MEASUREMENTS: Comparison of EUS sensitivity/specificity for intraductal and local extension with ERCP and surgical pathology by using the area under the receiver-operating characteristic (AUROC) curves and outcomes of the subgroup referred for endoscopic papillectomy.
resultsWe identified 119 patients who underwent EUS for an ampullary lesion, of whom 99 (83%) had an adenoma or adenocarcinoma. Compared with ERCP (n = 90), the sensitivity/specificity of EUS for any intraductal extension was 56%/97% (AUROC = 0.77; 95% confidence interval [CI], 0.64-0.89). However, when using surgical pathology as the reference (n = 102), the sensitivity/specificity of EUS (80%/93%; AUROC = 0.87; 95% CI, 0.76-0.97) and ERCP (83%/93%; AUROC = 0.88; 95% CI, 0.77-0.99) were comparable. The overall accuracy of EUS for local staging was 90%. Of 58 patients referred for endoscopic papillectomy, complete resection was achieved in 53 (91%); in those having intraductal extension by EUS or ERCP, complete resection was achieved in 4 of 5 (80%) and 4 of 7 (57%), respectively. LIMITATION: Retrospective design.
conclusionsEUS and ERCP perform similarly in evaluating intraductal extension of ampullary adenomas. Additionally, EUS is accurate in T-staging ampullary adenocarcinomas. Future prospective studies should evaluate whether EUS can identify characteristics of ampullary lesions that appropriately direct patients to endoscopic or surgical resection.
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