Document Detail

Is preoperative angiography useful in patients with periampullary tumors?
MedLine Citation:
PMID:  2357127     Owner:  NLM     Status:  MEDLINE    
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.
W C Dooley; J L Cameron; H A Pitt; K D Lillemoe; N C Yue; A C Venbrux
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of surgery     Volume:  211     ISSN:  0003-4932     ISO Abbreviation:  Ann. Surg.     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-07-20     Completed Date:  1990-07-20     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  0372354     Medline TA:  Ann Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  649-54; discussion 654-5     Citation Subset:  AIM; IM    
Department of Surgery, Johns Hopkins Medical Institutions, Baltimore, Maryland.
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MeSH Terms
Adenocarcinoma / radiography*,  surgery
Ampulla of Vater*
Cholestasis / radiography
Common Bile Duct Neoplasms / radiography*,  surgery
Duodenum / surgery
Middle Aged
Pancreatic Neoplasms / radiography*,  surgery
Preoperative Care
Tomography, X-Ray Computed
Comment In:
Ann Surg. 1991 Apr;213(4):372-3   [PMID:  2009022 ]

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

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