Ampullary adenoma

I haven't personally been thru it, though know a few who have. Basically they will use an ERCP to try and remove it......hopefully they can, sometimes due to location and such, they are unsuccesful. But, from what I gather the area will be sore for a bit.....but you should be ok.

I hope someone who has direct personal experience can come in and share with you.

Best of luck and keep us posted!

Charlie

Thanks!

Jason, I had one of those suckers removed by scope about 12 years ago. Fortunately, I was referred to a GI who does this procedure, and he did it on an OP basis. Shortly after returning home, I developed pancreatitis and was admitted to the hospital and put on a morphine drip for pain control and nothing by mouth for 6 days. The condition cleared up completely and my ampula had been OK ever since. I had no stent placed, but then this procedure was not common at that time. My suggestion is to be sure the doctor who does your procedure has done a number of them. Be sure to have regular scopings of the duodenum (at least annually). Best of luck with your procedure!
Bill

Thanks, Bill. My GI mentioned the likelihood of pancreatitis, and may keep me overnight for observation. He's going to do the regular scope, but will have the surgeon with him to make the call for surgery (then the surgeon will take over). My GI assured me that the surgeon has a lot of experience with this operation. I had pancreatitis after my first surgery and it wasn't fun, so I really hope I don't get it again!

So, I went to UAB yesterday for the flex sig, double balloon EGD, EUS, & ERCP. However, when they did the EUS they discovered that the adenoma was much more diffuse than they thought, so they did not remove it. Afterwards, they told me that they need to discuss my options with my GI surgeon (who did all my other surgeries). I was told that the adenoma would either be removed with the ampula and part of the duodenum (resection) in one open operation, or in several endoscopic procedures. They want to weigh the benefits & risks of each, but, obviously I'd prefer the latter. Any advice?

i had part of my ampula taking out. spent two days in the hospital, i got sick and was very sore. there was posible chance of irrtating the pancreas which i think thats what happened but they didn't say...

Wow, my heart goes out to you guys! I hope that things go well with the ampulla procedures. Sounds very delicate and with much risk! I think this is a rather rare condition, based on how few people are reporting back with experience.

 

Jan

Curious what road you chose to take?

I have ERCP done every 3 months, also follow 2 GI doctors and a Digestive Disease doctor

Chuckus my grandmother had the Whipple procedure done at the age of 77 that is big surgery she ended up in the ICU right after it and passed away. I don't know why they decided to do that surgery at her age, it was done in 1999

J D .  I had an ampulectomy about 20 yrs ago by ercp. If I remember correctly it took about 4 visits t o remove the tissue. The last one ended with 11 days In the hospital w pancreatitis. They continue t o
monitor that area 1x per year.