Endoscopic ultrasound evaluation in the surgical treatment of duodenal and peri-ampullary adenomas

作     者：Lilian C Azih Brett L Broussard Milind A Phadnis Martin J Heslin Mohamad A Eloubeidi Shayam Varadarajulu Juan Pablo Arnoletti 

作者机构：Department of General SurgeryUniversity of Alabama BirminghamBirminghamAL 35233United States Department of BiostatisticsKansas University Medical CenterKansas CityKS 66160United States Department of Surgical OncologyUniversity of Alabama BirminghamBirminghamAL 35233United States Department of GastroenterologyAmerican University of BeirutBeirut 1107 2020Lebanon Department of Gastroenterologythe Center for Specialized Surgery at Florida HospitalOrlandoFL 32804United States Department of Surgical OncologyThe Center for Specialized Surgery at Florida HospitalOrlandoFL 32804United States 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2013年第19卷第4期

页      面：511-515页

核心收录：

学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主　　题：Endoscopic ultrasound Duodenal periampullary adenoma Esophagogastroduodenoscopy Cholangio-pancreatography 

摘      要：AIM:To investigate endoscopic ultrasound(EUS) for predicting depth of mucosal invasion and to analyze outcomes following endoscopic and transduodenal ***:Records of 111 patients seen at our institution from November 1999 to July 2011 with the postoperative pathological diagnosis of benign ampullary and duodenal adenomas were *** of patients who underwent preoperative EUS for diagnostic purposes were *** accuracy of EUS in predicting the absence of muscular invasion was assessed by comparing EUS reports to the final surgical pathological *** addition,the incidence of the post-operative complications over a period of 30 d and the subsequent long-term outcome(recurrence) over a period of 30 mo associated with endoscopic and transduodenal surgical resection was recorded,compared and ***:Among 111 patients with benign ampullary and duodenal adenomas,47 underwent preoperative EUS for 29 peri-ampullary lesions and 18 duodenal *** addition,computed tomography was performed in 18 patients,endoscopic retrograde cholangio-pancreatography in 10 patients and esophagogastroduodenoscopy in 22 *** were 43 patients with sporadic adenomas and 4 patients with familial adenomatous polyposis(FAP)/other polyposis *** 38(81%,P 0.05) patients,EUS reliably identified absence of submucosal and muscularis *** 4 cases,EUS underestimated submucosal invasion that was proven by *** the other 5 patients,EUS predicted muscularis invasion which could not be demonstrated in the resected *** predicted tumor muscularis invasion with a specificity of 88% and negative predictive value of 90%(P 0.05).Types of resection performed included endoscopic resection in 22 cases,partial duodenectomy in 9 cases,transduodenal ampullectomy with sphincteroplasty in 10 cases and pancreaticoduodenectomy in 6 *** main post-operative final pathological results included villous adenoma(n = 5),adenoma(n =