Malignant tumors of the Vater's ampulla. Presentation of 28 cases and review of the literature
Gómez Iglesias, S.; Sendra León, P.; Mir Pallardo, J.; López Andújar, R.; Moya Herráiz, A.; Orbis Castellanos, F.; Sanjuán Rodríguez, F.; de Juan Burgueño, M.
Revista Clinica Espanola 194(1): 9-12
1994
ISSN/ISBN: 0014-2565 PMID: 8153423 Document Number: 425825
We present a study of 28 patients, treated for adenocarcinoma of Vater's ampulla. We emphasize the distinct behavior of each one of the peri-ampullar tumors, those which affect Vater's ampulla yielding the best prognosis. We gathered data regarding gender, age, clinical manifestations, and analytical data. The confirmatory diagnosis gives us 100% of CPRE cases. All of the patients were submitted to surgical treatment with anatomic pathological confirmation of the diagnosis, be it pre or postoperative. We practiced curative surgery in 57.2% of the cases and palliative in 42.8% of the cases. We observed postoperative complications in 17.8% of the patients and peroperative mortality in 3.5%. Actual survival of the series of patients for whom exeretic surgery was performed is significantly superior to that of the other patients.