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©2007 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Feb 28, 2007; 13(8): 1268-1270
Published online Feb 28, 2007. doi: 10.3748/wjg.v13.i8.1268
Published online Feb 28, 2007. doi: 10.3748/wjg.v13.i8.1268
Endoscopic resection of an ampullary carcinoid presenting with upper gastrointestinal bleeding: A case report and review of the literature
Nooman Gilani, Francisco C Ramirez, Carl. T. Hayden Veterans Administration Medical Center, Phoenix, AZ, United States
Author contributions: All authors contributed equally to the work.
Correspondence to: Nooman Gilani, MD, FACG, Department of Medicine and Research, Gastroenterology Section, Carl. T. Hayden VAMC, 650 E Indian School Rd, Phoenix, AZ 85012, United States. ngilani@pol.net
Telephone: +1-602-2775551-7618 Fax: +1-602-2226562
Received: October 12, 2006
Revised: December 28, 2006
Accepted: February 25, 2007
Published online: February 28, 2007
Revised: December 28, 2006
Accepted: February 25, 2007
Published online: February 28, 2007
Abstract
Ampullary carcinoid is a rare tumor that can present with gastrointestinal bleeding, obstructive jaundice or pancreatitis. Some of these tumors are associated with Von Recklinghausen disease. The usual surgical options are a biliary-enteric anastomosis, Whipple procedure or rarely a local resection. The mean survival does not appear to be much different after a pancreaticoduodenectomy versus local surgical excision. We report a very rare case of a non-metastatic ampullary carcinoid causing upper gastrointestinal bleeding, which was managed by endoscopic ampullectomy.