This document discusses a case of a 65-year-old woman who presented with recurrent abdominal pain and jaundice and was found to have an ampullary adenoma. She underwent an endoscopic snare ampullectomy to remove the adenoma. The document then provides further information on ampullary adenomas, including their risk of progression to cancer, appropriate management based on size and invasion, and techniques for performing endoscopic ampullectomy.

1. Case & review: Periampullary ADENOMA/Carcinoma & Endoscopic ampullectomy Dr. Susumu Hijioka,MD, Kumumato Hospital, Japan. Visiting gastroenterologist. Dr. Taha Karbuli, Gastroenterologist, Kurdistan center for GIT. Dr. Mohammad Shaikhani, CABM, MD, Kurdistan center for GIT. University of Sulaymaniah College of Medicine. Department of Medicine. Sulaymaniah-Iraqi Kurdistan.

10. Endoscopic snare ampullectomy of the case.

11. ERC ERP After EP ERP Pancteatic stent ERBD finish specimen （ Law ） After 5 days

12. A case from an internet case presentation:

14. This is an extra slide