fibrin glue Presenting Author:

YOUN JUNG PARK Additional

fibrin glue Presenting Author:

YOUN JUNG PARK Additional Authors: JAE HYUCK JANG, SUNG HA BAE, MI HEE PARK, KYUNG SOO LEE, JONG WON PARK, CHANG WHAN KIM, SOK WON HAN Corresponding Author: Rapamycin molecular weight YOUNJUNG PARK Affiliations: Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine, Bucheon St. Mary’s Hospital, College of Medicine Objective: Ampullary adenoma is glandular dysplastic lesions that arise in and around the duodenal ampulla. Endoscopic ampullectomy is the treatment of choice for an ampullary adenoma. However, regenerative tissue developed at the post-ampullectomy site can mimic the ampullary adenoma. Methods: We retrospectively reviewed the medical records of a patient treated for the ampullary adenoma. Results: A 67-year-old woman underwent screening esophagogastroduodenoscopy.

A protruding mass-like lesion BGJ398 mouse was found at the ampulla of Vater (Figure A). Histological examination of the lesion revealed tubular adenoma with low grade atypism (Figure B). An endoscopic snare ampullectomy was performed. The microscopic ampullectomy specimen showed an adenoma, and the margin of specimen was free of the adenoma. Forty days after the ampullectomy, the patient visited the emergency department due to fever and abdominal pain. Acute cholangitis was suspected from the clinical findings. Endoscopic retrograde cholangiopancreatography was performed, and a recurrent protruding mass was found at the

ampullectomy site (Figure C). We performed an ampullectomy again suspecting that this lesion was recurrent or remnant adenoma. However, the ampullectomy specimen revealed the regenerative epithelium, not true adenoma (Figure D). Conclusion: Regenerative epithelial tissue can mimic recurrent medchemexpress or remnant adenoma after an ampullectomy. Key Word(s): 1. Ampullary adenoma; 2. endoscopic ampullectomy Presenting Author: PUTU PRATHIWI PRIMADHARSINI Additional Authors: HENDRA KONCORO, LUH PUTU IIN INDRAYANI MAKER, GDE SOMAYANA, I KETUT MARIADI, I GUSTI AGUNG SURYADARMA, NYOMAN PURWADI, I DEWA NYOMAN WIBAWA Corresponding Author: PUTU PRATHIWI PRIMADHARSINI Affiliations: Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital, Udayana University/Sanglah General Hospital Objective: Upper gastrointestinal (UGI) malignancy is one of major causes of cancer related death. However, data of UGI malignancy in Indonesian health care center were limited. This study was aimed to determine the prevalence of UGI malignancy in patients undergoing esophagogastroduodenoscopy in Sanglah General Hospital Denpasar.

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