Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6270
pubmed:dateCreated
1981-8-10
pubmed:abstractText
Pancreaticoduodenectomy remains the operation of choice for carcinoma of the ampulla of Vater, but the presence of severe jaundice in almost all patients with ampullary neoplasia is a major contributory factor to the high incidence of complications and hospital mortality after the operation. To achieve biliary decompression in five patients endoscopic sphincterectomy was performed at the time of endoscopic retrograde cholangiopancreatography. The procedure was successful in achieving biliary drainage in all cases and was without appreciable morbidity. All five patients subsequently underwent identical resections, the interval to operation being decided by the speed of resolution of the jaundice; minor pancreatic leaks in two patients were the only complications. None of the patients died. These results suggest, therefore, that endoscopic sphincterotomy should be performed at the time of duodenoscopy if an obstructive ampullary tumour is found.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-1130871, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-14210370, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-4100568, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-4122352, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-426545, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-46764, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-4685917, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-5693344, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-707742, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-81531, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-82003, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-848682, http://linkedlifedata.com/resource/pubmed/commentcorrection/6786456-921352
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Apr
pubmed:issn
0267-0623
pubmed:author
pubmed:issnType
Print
pubmed:day
4
pubmed:volume
282
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1109-11
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1981
pubmed:articleTitle
Endoscopic sphincterotomy before pancreaticoduodenectomy for ampullary carcinoma.
pubmed:publicationType
Journal Article