Treatment for papillary adenoma

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.