| Is preoperative angiography useful in patients with periampullary tumors? | |
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MedLine Citation:
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PMID: 2357127 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Ninety patients with periampullary tumors, staged by CT scan and believed to be resectable, were staged further by visceral angiography. Most of these patients (78) had carcinoma of the head of the pancreas. Visceral angiography was normal in 62 patients. Major vessel encasement (17 patients) or occlusion (11 patients) was identified in 28 patients. There were no complications related to angiography. Among the 62 patients with normal angiograms, 48 underwent a pancreaticoduodenectomy, for a resectability rate of 77%. Among the 17 patients with vessel encasement, the resectability rate was 35%. For the 11 patients with vessel occlusion, the resectability rate was 0%. Combined with CT scan, visceral angiography is a useful adjunct in the staging of patients with periampullary tumors. Major vessel occlusion precludes resection, and major vessel encasement makes resection unlikely. If visceral angiography is normal, it is very likely that the tumor will be resectable. |
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Authors:
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W C Dooley; J L Cameron; H A Pitt; K D Lillemoe; N C Yue; A C Venbrux |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Annals of surgery Volume: 211 ISSN: 0003-4932 ISO Abbreviation: Ann. Surg. Publication Date: 1990 Jun |
Date Detail:
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Created Date: 1990-07-20 Completed Date: 1990-07-20 Revised Date: 2009-11-18 |
Medline Journal Info:
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Nlm Unique ID: 0372354 Medline TA: Ann Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 649-54; discussion 654-5 Citation Subset: AIM; IM |
Affiliation:
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Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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radiography*,
surgery Ampulla of Vater* Angiography* Cholestasis / radiography Common Bile Duct Neoplasms / radiography*, surgery Duodenum / surgery Female Humans Male Middle Aged Pancreatectomy Pancreatic Neoplasms / radiography*, surgery Preoperative Care Tomography, X-Ray Computed |
| Comments/Corrections | |
Comment In:
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Ann Surg. 1991 Apr;213(4):372-3
[PMID:
2009022
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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