Zhou B, Liu B, Wang ZW, Wang FT, Wei X, Niu J. Surgical treatments for primary duodenal adenoma.
Shijie Huaren Xiaohua Zazhi 2013;
21:2739-2742. [DOI:
10.11569/wcjd.v21.i26.2739]
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Abstract
AIM: To investigate the clinical features of and surgical options for duodenal adenoma.
METHODS: Clinical data for 18 patients with pathologically confirmed primary duodenal adenoma who underwent surgical treatment were retrospectively analyzed.
RESULTS: Of all patients, 5 had adenoma, 5 had Brunner's adenoma, 4 had villous tubular adenoma, 3 had villous adenoma, 1 had tubular adenoma; 10 had a tumor in the descending duodenum (including 4 cases near the nipple), 5 in the bulbar duodenum, 3 in the horizontal part; 11 underwent local tumor resection, 4 underwent pancreaticoduodenectomy, 1 underwent routine gastrectomy, 1 underwent partial excision of the duodenal papilla plus routine angioplasty, 1 underwent routine duodenal bowel resection, 1 underwent pancreaticoduodenectomy plus postoperative pancreatic fistula. Approximately 89% of patients were followed, and the follow-up duration was 6-91 mo. Two patients died of non-related disease, and one patient developed recurrence after local excision of villous adenoma.
CONCLUSION: The choice of surgical procedure for primary duodenal adenoma depends on the anatomical specificity and tumor histological type. Local excision is the preferred surgical approach with good prognosis.
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