Document Detail


Carcinoma of the ampulla of Vater: long-term survival after surgical treatment.
MedLine Citation:
PMID:  7904499     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ninety-one patients were identified as having carcinoma arising from the ampulla of Vater. Radical pancreaticoduodenectomy, using either a standard or pylorus-preserving method, was performed in 69 consecutive patients over a 30-year period. Frequent clinical findings included jaundice (84%), a weight loss of more than 10% of the body weight (75%), abdominal pain (59%), chills and fever (52%), pruritus (48%) and a palpable gallbladder (38%). Acute pancreatitis was present in 10%. Postoperative mortality was 11.6%. Surgical mortality was 23.1% from 1962 to 1971 and 12.5% from 1972 to 1981, but was reduced to 6.3% from 1982 to 1991. Surgical mortality was primarily due to pancreaticojejunostomy leaks. The five-year survival rate was 52% and the 10-year rate was 50%. Radical pancreaticoduodenectomy for ampullary carcinoma has a low mortality and should remain the procedure of choice for ampullary carcinoma.
Authors:
T C Wei; S C Yu; P H Lee; S C Hsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the Formosan Medical Association = Taiwan yi zhi     Volume:  92     ISSN:  0929-6646     ISO Abbreviation:  J. Formos. Med. Assoc.     Publication Date:  1993 Jul 
Date Detail:
Created Date:  1994-02-24     Completed Date:  1994-02-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9214933     Medline TA:  J Formos Med Assoc     Country:  HONG KONG    
Other Details:
Languages:  eng     Pagination:  632-7     Citation Subset:  IM    
Affiliation:
Department of Surgery, National Taiwan University Hospital, Taipei, R.O.C.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Ampulla of Vater*
Carcinoma / mortality,  surgery*
Common Bile Duct Neoplasms / mortality,  surgery*
Female
Humans
Male
Middle Aged
Pancreaticoduodenectomy*
Retrospective Studies
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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