[Pancreas-preserving total duodenectomy due to familial adenomatous polyposis in 4 patients]. / Pancreassparende totale duodenectomie wegens familiaire adenomateuze polyposis bij 4 patiënten.
Ned Tijdschr Geneeskd
; 146(13): 621-4, 2002 Mar 30.
Article
in Nl
| MEDLINE
| ID: mdl-11957383
ABSTRACT
In 4 patients with familial adenomatous polyposis (FAP) and multiple severe dysplastic adenomas in the duodenum (a 42-year-old woman and 3 men aged 44, 53 and 33 years, respectively), pancreas-preserving total duodenectomy (PPTD) was carried out. In 2 of the patients, serious early post-operative complications arose (leakage and haemorrhage of the gastrojejunostomy, respectively), and 1 patient developed a late complication (attacks of pancreatitis). During the 1-5-year follow-up period, small villous adenomas were seen in the jejunum (neoduodenum) of 1 of the patients. PPTD is a technically possible procedure which allows targeted treatment to be carried out if duodenum polyps are found upon endoscopic examination.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Adenomatous Polyposis Coli
/
Duodenal Neoplasms
/
Duodenum
Type of study:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
Nl
Journal:
Ned Tijdschr Geneeskd
Year:
2002
Document type:
Article