Outcomes of nonresected main-duct intraductal papillary mucinous neoplasms of the pancreas

World Journal of Gastroenterology : WJG
Mathieu DaudéBarbara Bournet

Abstract

To compare characteristics and outcomes of resected and nonresected main-duct and mixed intraductal papillary mucinous neoplasms of the pancreas (IPMN). Over a 14-year period, 50 patients who did not undergo surgery for resectable main-duct or mixed IPMN, for reasons of precluding comorbidities, age and/or refusal, were compared with 74 patients who underwent resection to assess differences in rates of survival, recurrence/occurrence of malignancy, and prognostic factors. All study participants had dilatation of the main pancreatic duct by ≥ 5 mm, with or without dilatation of the branch ducts. Some of the nonsurgical patients showed evidence of mucus upon perendoscopic retrograde cholangiopancreatography or endoscopic ultrasound and/or after fine needle aspiration. For the surgical patients, pathologic analysis of resected specimens confirmed a diagnosis of IPMN with involvement of the main pancreatic duct or of both branch ducts as well as the main pancreatic duct. Clinical and biologic follow-ups were conducted for all patients at least annually, through hospitalization or consultation every six months during the first year of follow-up, together with abdominal imaging analysis (magnetic resonance cholangiopancreatography or...Continue Reading

References

Sep 30, 2003·The British Journal of Surgery·M SugiyamaY Atomi
Dec 6, 2005·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Sep 26, 2007·Annals of Surgery·C Max SchmidtKeith D Lillemoe
Dec 22, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Claudio BassiHoward A Reber
Apr 3, 2009·Cleveland Clinic Journal of Medicine·Mansour A ParsiGregory Zuccaro
May 30, 2009·Journal of Gastroenterology and Hepatology·Barbara BournetLouis Buscail
Apr 13, 2010·Journal of Gastroenterology·Atsushi KannoTooru Shimosegawa
May 11, 2010·Journal of Clinical Gastroenterology·Takuya MimuraTakeshi Azuma
Dec 17, 2010·World Journal of Gastrointestinal Surgery·Jaime Benarroch-Gampel, Taylor S Riall
Jun 13, 2012·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Masao TanakaUNKNOWN International Association of Pancreatology
Feb 19, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Neeraj AnandBechien U Wu
Jun 27, 2013·Journal of Gastroenterology and Hepatology·Takeshi OguraKazuhide Higuchi
Jul 31, 2013·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Kazumichi KawakuboKazuhiko Koike

❮ Previous
Next ❯

Citations

Oct 4, 2016·Gastrointestinal Endoscopy·Selma J LekkerkerkerJeanin E van Hooft
Aug 27, 2017·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·G O CeyhanH Friess
Mar 21, 2017·Digestive Diseases and Sciences·Alexander Larson, Richard S Kwon
Feb 27, 2021·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Kodai AbeYuko Kitagawa
Jun 20, 2021·Current Problems in Surgery·R Matthew WalshBrian K P Goh
Jul 3, 2021·Mathematical Biosciences and Engineering : MBE·Chengkang LiYuanyuan Wang

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.