| Title | Transduodenal excision of benign adenoma of the papilla of Vater. | | Author(s) | Sand JA, Nordback IH | | Institution | Department of Surgery, Tampere University Hospital, Finland. | | Source | Eur J Surg 1995 Apr; 161(4):269-72. | | MeSH | Adenoma
Adenoma, Villous
Aged
Ampulla of Vater
Cholangiopancreatography, Endoscopic Retrograde
Common Bile Duct Neoplasms
Duodenoscopy
Duodenum
Electrocoagulation
Female
Follow-Up Studies
Frozen Sections
Humans
Male
Middle Aged
Pneumonia
Postoperative Complications
Retrospective Studies
| | Abstract | OBJECTIVE: To evaluate methods of diagnosis and treatment of benign adenoma of the papilla of Vater.
DESIGN: Retrospective study. SETTINGS: University hospital, Finland.
SUBJECTS: Five patients who had transduodenal excision of adenomas of the papilla of Vater from 1988-1993.
MAIN OUTCOME MEASURES: Symptoms, preoperative staging with side-viewing duodenoscopy and endoscopic retrograde cholangiopancreatography, histological appearance of operative frozen section, postoperative complications, and duodenoscopic follow up.
RESULTS: Only the patients with tumours less than 3 cm and strictures of the distal bile or pancreatic duct of less than 1.5 cm were selected for transduodenal excision. Both examination of operative frozen sections and final histological examination confirmed benign adenoma in each patient. Four of the patients recovered with no complications, but one patient developed bronchopneumonia. The preoperative symptoms (bleeding, jaundice, pancreatitis, pain) resolved in all patients. During the follow up (median 18 months) none of the patients developed recurrent disease.
CONCLUSION: This experience supports our policy of transduodenal excision of benign adenoma of the papilla of Vater for carefully selected patients. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 7612770 |
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