Volume 3, Issue 3, Pages (March 2018)

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Volume 3, Issue 3, Pages 94-96 (March 2018) Successful use of radiofrequency ablation for the management of a recurrent ampullary adenoma with intraductal extension Bharat Rao, MD, Mrinal Garg, MD, Shailendra Singh, MD, Abhishek Gulati, MD, Shyam Thakkar, MD VideoGIE Volume 3, Issue 3, Pages 94-96 (March 2018) DOI: 10.1016/j.vgie.2017.12.002 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Large, 4-cm tubulovillous adenoma arising from the major duodenal papilla. VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 Endoscopic appearance of disease resolution after piecemeal resection and treatments with argon plasma coagulation. VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 Biopsy specimen obtained from the distal common bile duct after ablation with argon plasma coagulation, showing persistent tubulovillous adenoma (H&E, orig. mag. × 10). VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Polyp visualized at the 3 o’clock position extending circumferentially in the distal common bile duct. VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 An 8F probe with a 2.5-cm ablation zone positioned over a wire into the distal biliary tree to perform radiofrequency ablation. VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 Six-month surveillance view showing scarring at treatment site without residual polyp. VideoGIE 2018 3, 94-96DOI: (10.1016/j.vgie.2017.12.002) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions