Incidence and Risk Factors for Recurrence of Ampullary Adenomas after Endoscopic Papillectomy: A Comparative Analysis of FAP and Sporadic Ampullary Adenomas in an International Multicenter Cohort.
Achintya Dinesh SinghCarol A BurkePeter V DraganovJay BapayeMakoto NishimuraSaowanee NgamruengphongVladimir KushnirNeil SharmaVivek KaulAparajita SinghAmol BapayeDebdeep BanerjeeAlexis BayudanMariajose Rojas De LeonRitu R SinghShruti MonyAshish GandhiThomas HollanderKrystle BittnerJacques BeauvaisRuishen LyuDavid LiskaTyler StevensMatthew WalshAmit BhattPublished in: Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society (2023)
Recurrence rates are high after EP. Most recurrences in sporadic patients occur within the first year of follow up but after the first year of follow up in patients with FAP. Recurrences are higher with larger adenomas, biliary duct dilation, peri-ampullary extensions and may be mitigated by en bloc resection. These factors should be considered in decision making with the patients.