PMID: 7612770Apr 1, 1995Paper

Transduodenal excision of benign adenoma of the papilla of Vater

The European Journal of Surgery = Acta Chirurgica
J A Sand, I H Nordback

Abstract

To evaluate methods of diagnosis and treatment of benign adenoma of the papilla of Vater. Retrospective study. University hospital, Finland. Five patients who had transduodenal excision of adenomas of the papilla of Vater from 1988-1993. Symptoms, preoperative staging with side-viewing duodenoscopy and endoscopic retrograde cholangiopancreatography, histological appearance of operative frozen section, postoperative complications, and duodenoscopic follow up. Only the patients with tumours less than 3 cm and strictures of the distal bile or pancreatic duct of less than 1.5 cm were selected for transduodenal excision. Both examination of operative frozen sections and final histological examination confirmed benign adenoma in each patient. Four of the patients recovered with no complications, but one patient developed bronchopneumonia. The preoperative symptoms (bleeding, jaundice, pancreatitis, pain) resolved in all patients. During the follow up (median 18 months) none of the patients developed recurrent disease. This experience supports our policy of transduodenal excision of benign adenoma of the papilla of Vater for carefully selected patients.

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