Case Report
Copyright ©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. May 16, 2017; 9(5): 238-242
Published online May 16, 2017. doi: 10.4253/wjge.v9.i5.238
Successful endoscopic treatment of an intraductal papillary neoplasm of the bile duct
Nikola S Natov, Laura C Horton, Sanjay R Hegde
Nikola S Natov, Sanjay R Hegde, the Gastroenterology/Hepatology Division, Tufts Medical Center, Boston, MA 02111, United States
Laura C Horton, Department of Medicine, Brigham and Women’s Hospital, Boston, MA 02115-6110, United States
Author contributions: Natov NS and Hegde SR participated equally in conception, acquisition, and analysis of data in the creation of the manuscript; Horton LC assisted with analysis of data and revision.
Institutional review board statement: This case report was exempt from the Institutional Review Board standards of Tufts University School of Medicine and Tufts Medical Center.
Informed consent statement: The subject provided written informed consent prior to planned treatments.
Conflict-of-interest statement: The authors report no financial or other conflicts of interest (including but not limited to commercial, personal, political, intellectual, or religious interests).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Nikola S Natov, MD, Gastroenterology Fellow, the Gastroenterology/Hepatology Division, Tufts Medical Center, 800 Washington Street, #233, Boston, MA 02111, United States. nnatov@tuftsmedicalcenter.org
Telephone: +1-617-6365883 Fax: +1-617-6369292
Received: October 19, 2016
Peer-review started: October 23, 2016
First decision: December 1, 2016
Revised: December 27, 2016
Accepted: January 11, 2017
Article in press: January 14, 2017
Published online: May 16, 2017
Core Tip

Core tip: Intraductal neoplasms of the bile duct (IPNB) classically present with jaundice and/or pruritus, but nonspecific symptoms such as right upper quadrant discomfort and weight loss may also develop. The first-line treatment for these tumors is surgical resection. Endoscopic retrograde cholangiopancreatography-guided radiofrequency ablation (RFA) has historically been used as adjunctive treatment; self-expanding metal stents may be used for palliation. We report a case of successful primary treatment of an IPNB with RFA alone.