The borders of the papillary adenoma are traced with the papillotome and the biliary duct and pancreatic duct are intubated.

An injection is made into the papillary adenoma to produce a good lifting sign.

The papillary adenoma following injection of 7 mL 0.9% NaCl.

Resection of the papilloma with a braided resection snare.

The pancreatic duct is cannulated immediately after the polypectomy, for prophylaxis against postinterventional pancreatitis.

Placement of a pancreatic stent (single pigtail, 5 Fr, 4 cm) to reduce the risk of postinterventional pancreatitis.