title: Operative management of tubulovillous neoplasms of the duodenum and ampulla.
abstract: Six patients are described to illustrate the operative management of tubulovillous neoplasms of the duodenum. Pancreaticoduodenectomy is appropriate for associated invasive carcinoma. Transduodenal submucosal excision of tubulovillous neoplasms with resection and reconstruction of the distal bile and pancreatic ducts if necessary is a satisfactory alternative when the neoplasm has not penetrated the muscularis mucosae.
authors.affiliation: Department of Surgery, Aberdeen University, UK.
authors.forename: Z H
authors.initials: ZH
authors.lastname: Krukowski
authors.forename: S W
authors.initials: SW
authors.lastname: Ewen
authors.forename: A I
authors.initials: AI
authors.lastname: Davidson
authors.forename: N A
authors.initials: NA
authors.lastname: Matheson
mesh_terms: D000236:Adenoma / Q000601:surgery*; D000368:Aged; D014670:Ampulla of Vater / Q000601:surgery*; D003138:Common Bile Duct Neoplasms / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000601:surgery*; D004386:Duodenum / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged