Endoscopic papillectomy: Indications, techniques, and results

Figure 1 Aggressive efforts to retrieve all resected tissue in all patients for histopathologic evaluation are mandatory. A: Endoscopic view of a 3 cm neoplastic lesion of the major papilla; B: The lesion is entirely entrapped by the endoscopic snare; C: The lesion is completely resected (en-bloc resection); D: The resected specimen is retrieved by a Roth Net^© device (US Endoscopy, Mentor, OH, United States); E: A plastic stent is implanted into the main pancreatic duct to prevent post-papillectomy pancreatitis; F: Duodenal view 6 mo after papillectomy. No evidence of recurrent disease is observed.