Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan.

Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the patient’s blood pressure suddenly became unstable. An intravenous fluid challenge was administered along with noradrenalin, and his blood pressure immediately recovered to a normal level.

I think endoscopic resection of a tumor with ampullary involvement has recently been reported more and more as a meaningful treatment. However, we have to pay attention to some adverse events. Other endoscopists can learn the about the possibility of hypotension when the gangliocytic paraganglioma is resected from this article.

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