Carcinoma of the ampulla of Vater: Review of 38 cases with emphasis on treatment and prognostic factors.

Abstract:

:Thirty-eight cases of carcinoma of the ampulla of Vater are presented. The diagnosis has been confirmed at laparatomy in all patients. Three operations were done, a pancreaticoduodenal resection in 23 patients, a biliary-enteric bypass in 7 patients and a biliary-enteric bypass plus excision of tumor in 8 patients. The operative mortality was 8% following resection, 14% following bypass plus excision of the ampulla and 13% following biliary-enteric bypass. Five patients survived 5 or more years. The longest survivors have followed pancreaticoduodenal resections (131 and 216 months). The level of bilirubin or presence of pain did not correlate with prognosis. Prognosis was better in the absence of nodal metastases, and in the presence of papillary tumors.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Makipour H,Cooperman A,Danzi JT,Farmer RG

doi

10.1097/00000658-197604000-00002

subject

Has Abstract

pub_date

1976-04-01 00:00:00

pages

341-4

issue

4

eissn

0003-4932

issn

1528-1140

journal_volume

183

pub_type

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