{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T21:42:32Z","timestamp":1740174152913,"version":"3.37.3"},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"CP","license":[{"start":{"date-parts":[[2024,11,25]],"date-time":"2024-11-25T00:00:00Z","timestamp":1732492800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Intrabiliary radiofrequency ablation (IB-RFA) is a therapeutic option for cases of\n        positive margin or recurrence after endoscopic papillectomy (EP) for superficial neoplasia.\n        We report our experience concerning safety and efficiency of IB-RFA.<\/jats:p><jats:p>This was a single tertiary center retrospective study. All patients who underwent IB-RFA\n        indicated for residual or recurrent neoplasia after EP were included. We assessed morbidity\n        (&lt;30 days) and late complications (&gt;30 days). Secondary outcomes were clinical success\n        and late recurrence (absence of recurrence at the papillectomy site 12 months after IB-RFA\n        and recurrence beyond 12 months, respectively).<\/jats:p><jats:p>Twenty-five patients were included and underwent IB-RFA for deep positive margins\n        (20\/25, 80%) or relapse (5\/25, 20%) and 40 sessions were delivered. The morbidity rate was\n        8% (2\/24) (1 pancreatitis, 1 bleeding). Acute pancreatitis was significantly more common in\n        the absence of pancreatic stenting (0% vs. 22%, P=0.046). One\n        patient for whom pancreatic stenting failed died from acute severe pancreatitis in the first\n        month (mortality rate=4%). Late complications occurred in 12 of 24 patients (50%) concerning\n        only biliary stricture, all of which were managed endoscopically without sequelae. The\n        clinical success rate was 92% (22\/24), and late recurrence occurred in two of 24 patients\n        (8%).<\/jats:p><jats:p>IB-RFA is relatively safe and efficient in cases of residual or recurrent neoplasia after EP and is an alternative to surgery in well-selected cases. Biliary stricture occurred frequently (50%) but could be managed endoscopically without sequelae in all cases. In cases of pancreatic stenting failure and because of the risk of severe and potentially lethal acute pancreatitis, IB-RFA should be postponed.<\/jats:p>","DOI":"10.1055\/a-2487-2598","type":"journal-article","created":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T04:14:21Z","timestamp":1732594461000},"source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["Safety of intrabiliary radiofrequency ablation in cases of residual and recurrent neoplasia after endoscopic papillectomy"],"prefix":"10.1055","volume":"13","author":[{"given":"Yanis","family":"Dahel","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4186-0942","authenticated-orcid":false,"given":"Fabrice","family":"Caillol","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Philippe","family":"Ratone","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christophe","family":"Zemmour","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anais","family":"Palen","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan","family":"Garnier","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacques","family":"Ewald","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Turrini","sequence":"additional","affiliation":[{"name":"Digestive Surgery Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Solene","family":"Hoibian","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Giovannini","sequence":"additional","affiliation":[{"name":"Digestive Endoscopy Unit, Paoli-Calmettes Institute, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"ref1","first-page":"236","article-title":"Two cases with ampullary cancer who underwent endoscopic excision","volume":"23","author":"K Suzuki","year":"1983","journal-title":"Prog Dig Endosc"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1055\/a-1397-3198","article-title":"ESGE Guidelines. 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