Evidence map›Paper›PMID 41613274›Full record

ArticleDEN open2026

A Case of Severe Acute Pancreatitis Following Endoscopic Biopsy of the Ampulla of Vater: A Rare Adverse Event of Esophagogastroduodenoscopy.

Tetsushi Azami, Yuichi Takano, Go Akihiro, Mako Kitazono, Naoki Tamai, Jun Noda, Fumitaka Niiya, Kazuyuki Miyamoto, Masatsugu Nagahama

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tetsushi AzamiDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.ORCID https://orcid.org/0009-0000-3796-3108
Yuichi TakanoDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.ORCID https://orcid.org/0000-0001-6803-9460
Go AkihiroDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.
Mako KitazonoDepartment of Emergency and Disaster Medicine Showa Medical University Fujigaoka Hospital Yokohama Japan.
Naoki TamaiDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.
Jun NodaDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.
Fumitaka NiiyaDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.
Kazuyuki MiyamotoDepartment of Emergency and Disaster Medicine Showa Medical University Fujigaoka Hospital Yokohama Japan.
Masatsugu NagahamaDepartment of Medicine Division of Gastroenterology, Showa Medical University Fujigaoka Hospital Yokohama Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histological biopsy is essential for diagnosing ampullary tumors; however, it can occasionally result in severe adverse events. A 49-year-old male underwent esophagogastroduodenoscopic screening, which revealed an ampulla of Vater with enlargement of the oral protrusion. An endoscopic biopsy was performed; several hours later, the patient developed severe acute pancreatitis requiring hospitalization. The biopsy result was benign, and no gallstones, ductal abnormalities, or other etiologies were identified on endoscopic ultrasonography or magnetic resonance cholangiopancreatography, and the biopsy was considered the most likely trigger. The patient recovered with conservative management and was discharged on day 14. No recurrence has been observed 3 months after discharge. Although acute pancreatitis following biopsy of the ampulla of Vater is extremely rare, it can be fatal. Endoscopists should be aware of this potential risk, carefully assess the necessity of biopsy, and ensure that patients provide informed consent before the procedure.

Indexed as

acute pancreatitisampulla of vaterbiopsyendoscopicpostoperative complications

Identifiers

PMID41613274
PMCPMC12849200

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.