[Pancreas-preserving total duodenectomy due to familial adenomatous polyposis in 4 patients].

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.

• Authors: J L M Konsten, G Kazemier, J Dees, C H J van Eijck
• Journal: Nederlands tijdschrift voor geneeskunde (Ned Tijdschr Geneeskd) Vol. 146 Issue 13 Pg. 621-4 (Mar 30 2002) ISSN: 0028-2162 [Print] Netherlands
• Vernacular Title: Pancreassparende totale duodenectomie wegens familiaire adenomateuze polyposis bij 4 patiënten.
• PMID: 11957383 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adenomatous Polyposis Coli (surgery)
• Adult
• Duodenal Neoplasms (surgery)
• Duodenum (surgery)
• Endoscopy
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Pancreas
• Pancreatitis (etiology)
• Postoperative Complications (etiology, prevention & control)
• Treatment Outcome