| Autor: |
Henry, Tocay-Ajcuc, Félix I, Téllez-Avila, Carlos I, García-Martínez, Norberto C, Chávez-Tapia, Luis F, Uscanga-Domínguez, Miguel A, Ramírez-Luna, Carlos, Chan-Nuñez, Roberto, Ruíz-Cordero, Aldo, Torre-Delgadillo |
| Rok vydání: |
2010 |
| Předmět: |
|
| Zdroj: |
Acta gastroenterologica Latinoamericana. 40(2) |
| ISSN: |
0300-9033 |
| Popis: |
Ampulla of Vater's tumors (AVT) are rare and account for 0.2% of neoplasia in necropsies. The stage, comorbidities and surgical experience are crucial for prognosis. The aim of this work is to report the clinical characteristics, treatment and complication of a group of patients with AVT.Patients with AVT were included in a retrospective manner. Descriptive statistics was used and data were shown as means and SD.One hundred and six patients were included with a mean age of 58.5 +/- 14 years and 58% were women. Jaundice was the most common clinical data and it was present in 90% of cases. Two-thirds of patients underwent a Whipple surgical procedure. Complications of surgery were present in 35% of cases and abdominal sepsis and pancreatic fistulae were the most common (32% and 29%, respectively). Adenocarcinoma was the most common histological type and 39% of cases were in stage IV at diagnosis. Age higher or equal to 65 years was associated with less surgical possibilities. Melena at presentation was associated with a higher probability of surgical resection.The probability of surgical resection is lower in patients older than 65 years and higher in those with melena at the diagnosis. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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