Large duodenal villous adenoma requiring head of the pancreas and pylorus-preserving total duodenectomy.

Abstract

Villous adenomas of the duodenum (VAD) are infrequent lesions of the gastrointestinal tract but have a high risk of recurrence and malignancy. For these reasons and its specific topographic location, the surgical treatment of VAD is still controversial. Herein we present a case of large VAD located in the second duodenal portion that was successfully treated with a head of the pancreas, pylorus-preserving total duodenectomy (PPTD). PPTD should be an excellent option in patients with large adenomas because it allows preservation of the pancreas, gastrointestinal function is maintained, the possibility of a recurrence and of an invasive carcinoma of the ampulla is eliminated, and finally because it permits an adequate endoscopic follow-up. PPTD should not be used in the presence of malignancy and/or high-grade dysplasia.

• Authors: Jorge Cueto, Jenny-Ann Benotto, Romo Catalina, Jose A Vazquez-Frias
• Journal: Surgical laparoscopy, endoscopy & percutaneous techniques (Surg Laparosc Endosc Percutan Tech) Vol. 15 Issue 4 Pg. 230-2; discussion 232-3 (Aug 2005) ISSN: 1530-4515 [Print] United States
• PMID: 16082312 (Publication Type: Case Reports, Journal Article)

Topics

• Adenoma, Villous (pathology, surgery)
• Duodenal Neoplasms (pathology, surgery)
• Duodenum (surgery)
• Endoscopy, Gastrointestinal
• Female
• Humans
• Middle Aged