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Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report
BACKGROUND: Duodenal papillary tumor is a rare tumor of the digestive tract, accounting for about 0.2% of gastrointestinal tumors and 7% of periampullary tumors. The clinical manifestations of biliary obstruction are most common. Some benign tumors or small malignant tumors are often not easily foun...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223821/ https://www.ncbi.nlm.nih.gov/pubmed/34222442 http://dx.doi.org/10.12998/wjcc.v9.i18.4748 |
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author | Wu, Biao Chen, Shi-Yong Li, Yuan He, Yu Wang, Xin-Xin Yang, Xiao-Jun |
author_facet | Wu, Biao Chen, Shi-Yong Li, Yuan He, Yu Wang, Xin-Xin Yang, Xiao-Jun |
author_sort | Wu, Biao |
collection | PubMed |
description | BACKGROUND: Duodenal papillary tumor is a rare tumor of the digestive tract, accounting for about 0.2% of gastrointestinal tumors and 7% of periampullary tumors. The clinical manifestations of biliary obstruction are most common. Some benign tumors or small malignant tumors are often not easily found because they have no obvious symptoms in the early stage. Surgical resection is the only treatment for duodenal papillary tumors. At present, the methods of operation for duodenal papillary tumors include pancreatoduodenectomy, duodenectomy, ampullectomy, and endoscopic resection. CASE SUMMARY: A 47-year-old man was admitted to because of a duodenal mass that had been discovered 2 mo previously. Electronic gastroscopy at another hospital revealed a duodenal papillary mass that had been considered to be a high-grade intraepithelial neoplasia. Therefore, we conducted a multidisciplinary group discussion and decided to perform a pancreas-preserving duodenectomy and a R0 resection was successfully performed. After surgery, the patient underwent a follow-up period of 5 yr. No recurrence or metastasis occurred. CONCLUSION: According to our experience with a duodenal papillary tumor, compared with pancreaticoduodenectomy, the use of pancreas-preserving duodenectomy can preserve pancreatic function, maintain gastrointestinal structure and function, reduce tissue damage and complications, and render the postoperative recovery faster. Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor is feasible under strict control of surgical indications. |
format | Online Article Text |
id | pubmed-8223821 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-82238212021-07-02 Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report Wu, Biao Chen, Shi-Yong Li, Yuan He, Yu Wang, Xin-Xin Yang, Xiao-Jun World J Clin Cases Case Report BACKGROUND: Duodenal papillary tumor is a rare tumor of the digestive tract, accounting for about 0.2% of gastrointestinal tumors and 7% of periampullary tumors. The clinical manifestations of biliary obstruction are most common. Some benign tumors or small malignant tumors are often not easily found because they have no obvious symptoms in the early stage. Surgical resection is the only treatment for duodenal papillary tumors. At present, the methods of operation for duodenal papillary tumors include pancreatoduodenectomy, duodenectomy, ampullectomy, and endoscopic resection. CASE SUMMARY: A 47-year-old man was admitted to because of a duodenal mass that had been discovered 2 mo previously. Electronic gastroscopy at another hospital revealed a duodenal papillary mass that had been considered to be a high-grade intraepithelial neoplasia. Therefore, we conducted a multidisciplinary group discussion and decided to perform a pancreas-preserving duodenectomy and a R0 resection was successfully performed. After surgery, the patient underwent a follow-up period of 5 yr. No recurrence or metastasis occurred. CONCLUSION: According to our experience with a duodenal papillary tumor, compared with pancreaticoduodenectomy, the use of pancreas-preserving duodenectomy can preserve pancreatic function, maintain gastrointestinal structure and function, reduce tissue damage and complications, and render the postoperative recovery faster. Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor is feasible under strict control of surgical indications. Baishideng Publishing Group Inc 2021-06-26 2021-06-26 /pmc/articles/PMC8223821/ /pubmed/34222442 http://dx.doi.org/10.12998/wjcc.v9.i18.4748 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report Wu, Biao Chen, Shi-Yong Li, Yuan He, Yu Wang, Xin-Xin Yang, Xiao-Jun Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title | Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title_full | Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title_fullStr | Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title_full_unstemmed | Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title_short | Pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: A case report |
title_sort | pancreas-preserving duodenectomy for treatment of a duodenal papillary tumor: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8223821/ https://www.ncbi.nlm.nih.gov/pubmed/34222442 http://dx.doi.org/10.12998/wjcc.v9.i18.4748 |
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