Is there an advantage in performing a pancreas-preserving total duodenectomy in duodenal adenomatosis?

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• 作者：Michael W. M&#xfc ; ller ; Rolf Dahmen ; Jö ; rg Kö ; ninger ; Christoph W. Michalski ; Ulf Hinz ; Mark Hartel ; Martina Kadmon ; Jö ; rg Kleeff ; Markus W. B&#xfc ; chler ; Helmut Friess
• 关键词：Duodenal adenomatosis ; Familial adenomatous polyposis ; Pancreas-preserving total duodenectomy ; Pylorus-preserving Whipple ; Quality of life ; Surgery
• 刊名：The American Journal of Surgery
• 出版年：2008
• 期刊代码：9_00029610
• 类别：med
• 出版时间：June 2008
• 卷：195
• 期：6
• 页码：741-748
• 文件大小：109 K

摘要

Duodenal adenomatosis is a premalignant condition often not treatable by local resection or endoscopy. An option for treatment is a pylorus-preserving (pp)-Whipple resection. Since the introduction of pancreas-preserving total duodenectomy (PPTD), the question has arisen whether a pp-Whipple resection is still needed to treat duodenal adenomatosis.