Pancreas-Sparing Duodenectomy for Duodenal Polyposis

J. M. Sarmiento
2002 Archives of Surgery  
Hypothesis: Pancreas-sparing duodenectomy (PSD) is a safe and effective operative procedure for patients with nonmalignant duodenal polyps. Design: Retrospective analysis of outcomes in patients undergoing PSD. Setting: A tertiary referral center. Patients: All patients undergoing PSD at the Mayo Clinic, Rochester, Minn. Indications were the presence of numerous duodenal polyps or large, solitary, adenomatous polyps not amenable to endoscopic resection. Dysplasia without frank malignancy was
more » ... onstrated in all patients by endoscopic biopsy specimens. Follow-up was complete in all patients. Main Outcome Measures: Operative feasibility, shortand long-term complications, quality of life, and survival. Results: Five patients had diffuse polyposis (familial adenomatous polyposis) and 3 had very large periampullary villous adenomas. The mean age of the patients was 54 years (female-male ratio, 3:1). Colectomy preceded PSD in 5 patients (familial adenomatous polyposis); 3 had previous transduodenal excision of adenomas, and 2 had PAPER
doi:10.1001/archsurg.137.5.557 pmid:11982469 fatcat:ovjtq6xw3vf73p4k4evwd54ena