检索结果-南通市图书馆

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

World Journal of Gastroenterology 2013年第4期19卷 511-515页

作者： Lilian C Azih Brett L Broussard Milind A Phadnis Martin J Heslin Mohamad A Eloubeidi shayam varadarajulu Juan Pablo Arnoletti Department of General Surgery University of Alabama BirminghamBirminghamAL 35233United States Department of Biostatistics Kansas University Medical CenterKansas CityKS 66160United States Department of Surgical Oncology University of Alabama BirminghamBirminghamAL 35233United States Department of Gastroenterology American University of BeirutBeirut 1107 2020Lebanon Department of Gastroenterology the Center for Specialized Surgery at Florida HospitalOrlandoFL 32804United States Department of Surgical Oncology The Center for Specialized Surgery at Florida HospitalOrlandoFL 32804United States

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 =

关键词： Endoscopic ultrasound Duodenal periampullary adenoma Esophagogastroduodenoscopy Cholangio-pancreatography

来源：

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

欢迎您,

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案：

请选择收藏分类：

通借通还

欢迎您,

建议与咨询 留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

时间限定

文献类型

馆藏选择

核心期刊

语言

文献类型

帮助

文字说明：

检索规则说明：

检索范例：

分类表

所选分类

限定检索结果

文献类型

馆藏范围

日期分布

学科分类号

主题

机构

作者

语言

在线全文

请选择保存的检索档案： 新增检索档案 确定 取消

请选择收藏分类： 新增自定义分类 确定 取消

通借通还

建议与咨询留下您的常用邮箱和电话号码，以便我们向您反馈解决方案和替代方法

请选择保存的检索档案：

请选择收藏分类：