Document Detail

Pancreas-preserving total duodenectomy versus standard pancreatoduodenectomy for patients with familial adenomatous polyposis and polyps in the duodenum.
MedLine Citation:
PMID:  18844249     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pancreas-preserving total duodenectomy (PPTD) was introduced as a replacement for pancreatoduodenectomy (PD) for familial adenomatous polyposis (FAP). This study analysed the results of PPTD in the Netherlands and reviewed the relevant literature.
METHODS: All 26 patients who underwent PPTD for FAP in four centres in the Netherlands between January 2000 and January 2007 were compared with a group of 77 patients who had PD for ampulla of Vater adenocarcinoma at one centre during the same interval.
RESULTS: Morbidity rates were similar after PPTD for FAP (16 patients, 62 per cent) and PD for ampulla of Vater adenocarcinoma (44 patients, 57 per cent) (P = 0.694). One patient (4 per cent) died after PPTD and two (3 per cent) after PD. A review of the literature, including patients from the present study, found that 71 patients had PPTD, with postoperative morbidity in 36 (51 per cent) and one death (1 per cent). In publications containing a total of 94 patients who underwent PD for FAP, 43 (46 per cent) developed complications and three (3 per cent) died.
CONCLUSION: PPTD has similar short-term results to PD in terms of morbidity and mortality.
S M M de Castro; C H J van Eijck; J P Rutten; C H Dejong; H van Goor; O R C Busch; D J Gouma
Related Documents :
19097179 - Factors contributing to the development of restless legs syndrome in patients with park...
6124899 - Bromocriptine, physostigmine, and neurotransmitter mechanisms in the dystonias.
18317299 - Striatal dopamine transporter abnormalities in patients with essential tremor.
6824289 - Vocal fold paresis in shy-drager syndrome.
19597089 - Elevated serum pesticide levels and risk of parkinson disease.
11054129 - Juvenile parkinsonism: a heterogeneous entity.
22445599 - Effects of isoproterenol and propranolol on the inducibility and frequency of ventricul...
9081549 - Pattern of brain morphology in patients with schizophrenia and large cavum septi pelluc...
20934289 - Association of budd-chiari syndrome and celiac disease.
Publication Detail:
Type:  Comparative Study; Journal Article; Multicenter Study    
Journal Detail:
Title:  The British journal of surgery     Volume:  95     ISSN:  1365-2168     ISO Abbreviation:  Br J Surg     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-23     Completed Date:  2008-11-28     Revised Date:  2011-04-11    
Medline Journal Info:
Nlm Unique ID:  0372553     Medline TA:  Br J Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  1380-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2008 British Journal of Surgery Society Ltd. Published by John Wiley & Sons, Ltd.
Department of Surgery, Academic Medical Centre, Amsterdam, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Adenocarcinoma / surgery*
Adenomatous Polyposis Coli / surgery*
Ampulla of Vater / surgery*
Common Bile Duct Neoplasms / surgery*
Pancreas / surgery*
Pancreaticoduodenectomy / methods*
Postoperative Complications / etiology
Treatment Outcome

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

Previous Document:  Case-control comparison of laparoscopic and open washout for peritoneal dialysis-associated peritoni...
Next Document:  Clinical and non-clinical factors influencing postoperative health-related quality of life in patien...