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.