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    A single-institution review of 157 patients presenting with benign and malignant tumors of the ampulla of Vater by Azar, Riad

    Published 2011
    “…For ampullary adenocarcinoma postoperative survival rates are rising. Recent series report 5-year postoperative survival rates of 53–68%.7 Successful endoscopic removal of high-grade intraepithelial neoplasia, in situ tumors, and focal T1 cancers has been reported, but is not widely practiced.8, 9 and 10 For patients with slow-growing benign tumors, endoscopic resection is an attractive alternative with decreased cost and morbidity.11 and 12 Endoscopic papillectomy has a recurrence rate of 30% with 13.9% of endoscopically treated patients subsequently undergoing follow-up surgery. …”
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