200 endoscopic operations for adenomas of the large papilla of the duodenum

Aim. To evaluate the role of the choice of endoscopic surgery in the treatment of patients with adenomas of the major duodenal papilla, using a developed endoscopic classification of adenomas. Material and methods. From 2000 to 2024, endoscopic removal of adenomas of the major duodenal papilla was performed in 200 patients. In 165 cases, endosonography was used at the diagnostic stage, while in 35 cases, this diagnostic method was not applied. Results. The technical success rate for endoscopic removal of adenomas of the major duodenal papilla was 100% in both groups. The frequency of postoperative complications in the main group was 16.9%, while in the comparison group it was 40%. In the long-term period, the recurrence rate of adenomas was observed in 6.6% of cases in the main group and in 20% of cases in the comparison group. Conclusion. A personalized selection of the optimal surgical intervention method for the removal of adenomas of the major duodenal papilla, based on the classification typology of the neoplasm, allows for minimizing the risk of postoperative complications and increasing the radicality of the intervention.