Diagnosis and Treatment for Primary Duodenal Papilla Adenocarcinoma _CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

GAN Yu ,  LI Ning , LU Wenzhu

Department of Hepatobiliary Surgery, West China Hospital, Sichuan University, Chengdu 610041, China;

Corresponding author：

LI Ning, Email: lngy1980@yahoo.cn

Keywords：

Primary duodenal papilla adenocarcinoma; Diagnosis; Treatment; Survival rate; Complications

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Objective To investigate the early diagnosis and treatment methods of primary duodenal papilla carcinoma. Methods The medical records of 54 patients with primary duodenal papilla adenocarcinoma underwent operation between January 2002 and December 2008 were reviewed. Results Thirty seven cases received fiberduodenoscopy and 35 cases received ERCP, and the accuracy of them were both 100%. Forty four patients received duodenopancreatectomy and 10 patients received jaundice-reducing operation. The 1-, 3-, and 5-year cumulation survival rate was 68%, 50%, and 29%, respectively. Conclusions Fiberduodenoscopy and ERCP are the effective diagnostic methods for duodenal papilla carcinoma. Early diagnosis and early rational radical operation are essential for successful treatment of duodenal papilla carcinoma.

Citation： GAN Yu,LI Ning,LU Wenzhu. Diagnosis and Treatment for Primary Duodenal Papilla Adenocarcinoma . CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(12): 1299-1301. doi: Copy

1.	Allema JH, Reinders ME, van Gulik TM, et al. Results of pancreaticoduodenectomy for ampullary carcinoma and analysis of prognostic factors for survival [J]. Surgery, 1995; 117(3): 247-253.
2.	成东华摘译. 小肠肿瘤的TNM分期 [J]. 中国实用外科杂志, 2006; 26(12): 927.
3.	Klempnauer J, Ridder GJ, Pichlmayr R. Prognostic factors after resection of ampullary carcinoma: multivariate survival analysis in comparison with ductal cancer of the pancreatic head [J]. Br J Surg, 1995; 82(12): 1686-1691.
4.	Howe JR, Klimstra DS, Moccia RD, et al. Factors predictive of survival in ampullary carcinoma [J]. Ann Surg, 1998; 228(1): 87-94.
5.	Beger HG, Treitschke F, Gansauge F， et al． Tumor of the ampulla of Vater: experience with local or radical resection in 171 consecutively treated patients [J]. Arch Surg, 1999; 134(5): 526-532.
6.	Talamini MA, Moesinger RC, Pitt HA, et al． Adenocarcinoma of the ampulla of Vater. A 28-year experience [J]. Ann Surg, 1997; 225(5): 590-599.
7.	Duffy JP, Hines OJ, Liu JH, et al. Improved survival for adenocarcinoma of the ampulla of Vater: fifty-five consecutive resections [J]． Arch Surg, 2003; 138(9): 941-948.
8.	Sperti C, Pasquali C, Piccoli A, et al. Radical resection for ampullary carcinoma: long-term results [J]. Br J Surg, 1994; 81(5): 668-671.
9.	Alexakis N, Halloran C, Raraty M, et al. Current standards of surgery for pancreatic cancer [J]. Br J Surg, 2004; 91(11): 1410-1427.
10.	Yamaguchi K, Chijiwa K, Shimizu S, et al. Comparison of endoscopic retrograde and magnetic resonance cholangiopancreatography in the surgical diagnosis of pancreatic diseases [J]. Am J Surg, 1998; 175(3): 203-208.
11.	Ito K, Fujita N, Noda Y, et al． Preoperative evaluation of ampullary neoplasm with EUS and transpapillary intraductal US: a prospective and histopathologically controlled study [J]. Gastrointest Endosc, 2007; 66(4): 740-747.
12.	Sewnath ME, Karsten TM, Prins MH, et al. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice [J]. Ann Surg, 2002; 236(1): 17-27.
13.	Lai EC, Doty JE, Irving C, et al. Primary adenocarcinoma of the duodenum: analysis of survival [J]. World J Surg, 1988; 12(5): 695-699.
14.	Joesting DR, Beart RW Jr, van Heerden JA, et al. Improving survival in adenocarcinoma of the duodenum [J]. Am J Surg, 1981; 141(2): 228-231.

1. Allema JH, Reinders ME, van Gulik TM, et al. Results of pancreaticoduodenectomy for ampullary carcinoma and analysis of prognostic factors for survival [J]. Surgery, 1995; 117(3): 247-253.
2. 成东华摘译. 小肠肿瘤的TNM分期 [J]. 中国实用外科杂志, 2006; 26(12): 927.
3. Klempnauer J, Ridder GJ, Pichlmayr R. Prognostic factors after resection of ampullary carcinoma: multivariate survival analysis in comparison with ductal cancer of the pancreatic head [J]. Br J Surg, 1995; 82(12): 1686-1691.
4. Howe JR, Klimstra DS, Moccia RD, et al. Factors predictive of survival in ampullary carcinoma [J]. Ann Surg, 1998; 228(1): 87-94.
5. Beger HG, Treitschke F, Gansauge F， et al． Tumor of the ampulla of Vater: experience with local or radical resection in 171 consecutively treated patients [J]. Arch Surg, 1999; 134(5): 526-532.
6. Talamini MA, Moesinger RC, Pitt HA, et al． Adenocarcinoma of the ampulla of Vater. A 28-year experience [J]. Ann Surg, 1997; 225(5): 590-599.
7. Duffy JP, Hines OJ, Liu JH, et al. Improved survival for adenocarcinoma of the ampulla of Vater: fifty-five consecutive resections [J]． Arch Surg, 2003; 138(9): 941-948.
8. Sperti C, Pasquali C, Piccoli A, et al. Radical resection for ampullary carcinoma: long-term results [J]. Br J Surg, 1994; 81(5): 668-671.
9. Alexakis N, Halloran C, Raraty M, et al. Current standards of surgery for pancreatic cancer [J]. Br J Surg, 2004; 91(11): 1410-1427.
10. Yamaguchi K, Chijiwa K, Shimizu S, et al. Comparison of endoscopic retrograde and magnetic resonance cholangiopancreatography in the surgical diagnosis of pancreatic diseases [J]. Am J Surg, 1998; 175(3): 203-208.
11. Ito K, Fujita N, Noda Y, et al． Preoperative evaluation of ampullary neoplasm with EUS and transpapillary intraductal US: a prospective and histopathologically controlled study [J]. Gastrointest Endosc, 2007; 66(4): 740-747.
12. Sewnath ME, Karsten TM, Prins MH, et al. A meta-analysis on the efficacy of preoperative biliary drainage for tumors causing obstructive jaundice [J]. Ann Surg, 2002; 236(1): 17-27.
13. Lai EC, Doty JE, Irving C, et al. Primary adenocarcinoma of the duodenum: analysis of survival [J]. World J Surg, 1988; 12(5): 695-699.
14. Joesting DR, Beart RW Jr, van Heerden JA, et al. Improving survival in adenocarcinoma of the duodenum [J]. Am J Surg, 1981; 141(2): 228-231.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Diagnosis and Treatment for Primary Duodenal Papilla Adenocarcinoma 

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