Surgical management of familial adenomatous polyposis: pancreas-sparing duodenectomy or pancreaticoduodenectomy (Whipple procedure)

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منابع مشابه

Pancreas-sparing duodenectomy for duodenal polyposis.

HYPOTHESIS Pancreas-sparing duodenectomy (PSD) is a safe and effective operative procedure for patients with nonmalignant duodenal polyps. DESIGN Retrospective analysis of outcomes in patients undergoing PSD. SETTING A tertiary referral center. PATIENTS All patients undergoing PSD at the Mayo Clinic, Rochester, Minn. Indications were the presence of numerous duodenal polyps or large, soli...

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Pancreas sparing duodenectomy as an emergency procedure

BACKGROUND The operative techniques to close extensive wounds to the duodenum are well described. However, postoperative morbidity is common and includes suture line leak and the formation of fistulae. The aim of this case series is to present pancreas sparing duodenectomy as a safe and viable alternative procedure in the emergency milieu. METHODS Five patients underwent emergency pancreas sp...

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Endoluminal ultrasound of neoduodenum following pancreas-preserving total duodenectomy for familial adenomatous polyposis.

CONTEXT Familial adenomatous polyposis affects around 2-10 per 100,000 population. Untreated, it inevitably leads to colon cancer. Prophylactic panproctocolectomy has led to improved survival. The resulting extension to follow-up has revealed that 70-100% of patients with familial adenomatous polyposis go on to develop duodenal polyposis and the lifetime risk of duodenal carcinoma in this group...

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The pancreas in familial adenomatous polyposis.

Familial adenomatous polyposis is an archetypal disease illustrating the genetic basis of human cancer. The adenomatous polyposis coli gene functions as a tumor suppressor with hundreds of known mutations that result in a defective adenomatous polyposis coli protein. In addition to the certain fate of colon cancer without colectomy, patients with familial adenomatous polyposis are also at incre...

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Surgical management of the duodenal manifestations of familial adenomatous polyposis.

BACKGROUND Duodenal adenomas develop in patients with familial adenomatous polyposis, incurring a risk of carcinoma. When this risk is high, surgery is indicated. The choice of surgical treatment can be difficult as evidence-based data are lacking. METHODS This is a systematic review of the literature on the non-medical management of duodenal lesions arising in the setting of familial adenoma...

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ژورنال

عنوان ژورنال: Revista Española de Enfermedades Digestivas

سال: 2019

ISSN: 1130-0108

DOI: 10.17235/reed.2019.6096/2018