2018, Number 4
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Cir Gen 2018; 40 (4)
Transduodenal ampulectomy, alternative in treatment of a case of adenoma in Vater ampula
Moreno CAR, López EG
Language: Spanish
References: 7
Page: 282-285
PDF size: 473.30 Kb.
ABSTRACT
The neoplasms in Vater’s ampulla are infrequent lesions, the conventional treatment consists of the Whipple procedure (duodenopancreatectomy), which is the standard treatment for malignant neoplasia. In the clinical case, a patient with a benign lesion of the Vater (adenoma) is presented, for which an ampulectomy is proposed for management of the pathology with the expectation of obtaining optimal therapeutic results and with lower morbidity and mortality than conventional treatment. Ampulectomy was performed with 5 mm surgical margins, without postsurgical complications, pathology studies reported tubular adenoma with clean margins, with endoscopy controlled at eight months without the presence of recurrence, so it is proposed as a surgical alternative in a patient with benign pathology Vater ampulla.
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