Abstract. KCAM, Eduardo; TAVARA, Franklin; MILLA, Ricardo and GONZALEZ, Steffi. Ampulloma treatment with Whipple surgery. First case report in the. findings by associating the ampuloma of pancreatobiliar origin with the infiltrative pattern, and .. y tratamiento del cáncer de páncreas. Med Clin (Barc). ampuloma de vater pdf. Quote. Postby Just» Tue Aug 28, am. Looking for ampuloma de vater pdf. Will be grateful for any help! Top.

Author: Toktilar Bazilkree
Country: Pakistan
Language: English (Spanish)
Genre: Photos
Published (Last): 28 July 2018
Pages: 476
PDF File Size: 12.60 Mb
ePub File Size: 9.40 Mb
ISBN: 151-9-53654-798-3
Downloads: 70416
Price: Free* [*Free Regsitration Required]
Uploader: Samunos

As stated previously, the purpose of applying palliative treatment to a patient with malignant obstructive jaundice is not only to increase long-term survival, tragamiento also to maintain good quality of life during the period of time between the diagnosis of the disease and the patient’s death.

Table II shows series distribution by neoplasm location. Tumor of the ampulla of Vater. Palliative surgery was decided upon by the team of tratamiebto responsible for the patient.

This fact implies that the type of procedure applied offers proportionally the same quality of life in this disease. Factors affecting mortality tratamiejto biliary tract surgery.

Follow-up ranged from 6 to 72 months. European Association for Gastroenterology Postgraduate course.

ampuloma de vater pdf

InAbraham Vater described a new anatomic entity that today trattamiento called the Vater’s ampulla 1. All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License. A case of ampullary carcinoma successfully managed with endoscopic snare resection.

Radical resection for carcinoma of the ampulla of Vater.

The main causes of malignant obstruction of the main biliary duct are hratamiento carcinoma, adenocarcinoma of the pancreatic head, cholangiocarcinoma and vesicular cancer 1. Clinicopathologic features of neoplastic cholangiopaties.


Macrobiopsies and a brushing cytology help in diagnostic accuracy, but a suitable classification requires a complete resection of the tumor and its histological examination, since the presence tratamjento an “in situ” or infiltrating carcinoma within an adenoma cannot be excluded without complete resection When the resection margin was affected or close tratqmiento the tumor, which usually occurs with poorly or moderately differentiated tumors, we performed a PD with a previous informed consent of the patients.

The mean age at presentation for patients undergoing transduodenal ampullectomy was 67 years years. Wittenberg, Lit Gerdesianis, The time free of disease was 4 months in stented patients and 10,5 months in surgical patients. Progress and update in pancreatology, Surgical reintervention ampulpma required in the 5 patients in group 2 due to suture dehiscence at the anastomosis. The development of jaundice, in some cases with cholangitis and even sepsis, was the most frequent cause of readmission, and the need for stent replacement the main reason for reintervention on the biliary duct.

Eight months after being operated on he remains without symptoms, and had no signs of recurrence during an endoscopy performed at 6 months.

Patients with a prior history of another neoplastic disease during the 5 previous years were excluded, as were those with difficult endoscopic access to the papilla e. Endoscopic biliary drainage was performed under sedation with midazolam i.

Gastroenterol Hepatol ; How to cite this article. Am Surg ; Disease-free survival was Table I shows the general characteristics of tratameinto group.

Surgical palliative treatment in biliary-pancreatic malignancy. Malignant bile duct obstruction. Survival in both studies was greater after palliative resection than after bypass surgery. Despite a lack of randomized trials showing better results for resection when compared with bypass surgery, results obtained for resection from retrospective studies are better than or at least equal to those published for bypass surgery 24, In our series, patients who received endoscopic biliary drainage stayed in hospital for Defining the criteria for local resection of ampullary neoplasms.


ampuloma de vater pdf

Patients were divided into two groups according to palliative treatment applied. A descriptive study was made of the variables gathered for each group, and a Kaplan-Meier curve was used to analyze survival and disease-free survival. One patient with PD because of a resection margin close to a moderately differentiated tumor showed 58 months after surgery a metastasis at the abdominal wall, which was resected; 12 months later a new metastasis in the right iliac chain with compression of the crural nerve was also removed.

Only patients with a malignant histological diagnosis or cholangiography and at least one other compatible image technique ultrasound, CAT or tratwmientoand who followed a clinical evolution of malignant disease, were included.

Endoscopic diagnosis and treatment of malignant biliary strictures: After that, the bile duct and the pancreatic duct were reinserted with interrupted synthetic absorbable suturesand then the duodenotomy was closed.

In our series, of 37 patients operated on, palliative resection was performed on 20, and 17 underwent biliodigestive bypass exclusively.