Academic Journal
Endoluminal Ultrasound of Neoduodenum Following Pancreas- Preserving Total Duodenectomy for Familial Adenomatous Polyposis
| العنوان: | Endoluminal Ultrasound of Neoduodenum Following Pancreas- Preserving Total Duodenectomy for Familial Adenomatous Polyposis |
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| المؤلفون: | Andrew J Beamish, S Ashley Roberts, James Ansell, Bilal Al-sarireh |
| المساهمون: | The Pennsylvania State University CiteSeerX Archives |
| المصدر: | http://www.serena.unina.it/index.php/jop/article/download/urn%3Anbn%3Ait%3Aunina-3390/756/. |
| المجموعة: | CiteSeerX |
| الوصف: | Context Familial adenomatous polyposis affects around 2-10 per 100,000 population. Untreated, it inevitably leads to colon cancer. Prophylactic panproctocolectomy has led to improved survival. The resulting extension to follow-up has revealed that 70-100 % of patients with familial adenomatous polyposis go on to develop duodenal polyposis and the lifetime risk of duodenal carcinoma in this group is up to 10%. Treatment for those not locally resectable requires pancreaticoduodenectomy. In recent years, pancreas-preserving total duodenectomy has emerged as a safe alternative to pancreaticoduodenectomy. Endoscopy has previously been safely performed in patients following pancreas-preserving total duodenectomy. Case report We report successful endoscopic ultrasound (EUS) assessment and trans-neoduodenal EUS-guided fine needle aspiration biopsy (EUS-FNA) of the pancreas and adjacent tissue in a 45-year-old man with familial adenomatous polyposis who has previously undergone pancreas-preserving total duodenectomy. EUS confirmed the mass was most likely to represent a metastasis in a local lymph node. EUS-FNA confirmed invasive malignancy. A Kausch-Whipple pancreaticoduodenectomy was performed successfully and post-operative recovery has been excellent. Conclusion The authors consider this to be the first report of successful EUS and EUS-FNA performed through the neoduodenum fashioned during pancreas-preserving total duodenectomy. |
| نوع الوثيقة: | text |
| اللغة: | English |
| Relation: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1027.3679; http://www.serena.unina.it/index.php/jop/article/download/urn%3Anbn%3Ait%3Aunina-3390/756/ |
| الاتاحة: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.1027.3679 http://www.serena.unina.it/index.php/jop/article/download/urn%3Anbn%3Ait%3Aunina-3390/756/ |
| Rights: | Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
| رقم الانضمام: | edsbas.E6555E61 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |