title: [Malignant tumors of the Vater's ampulla. Presentation of 28 cases and review of the literature].
abstract: We present a study of 28 patients, treated for adenocarcinoma of Vater's ampulla. We emphasize the distinct behavior of each one of the peri-ampullar tumors, those which affect Vater's ampulla yielding the best prognosis. We gathered data regarding gender, age, clinical manifestations, and analytical data. The confirmatory diagnosis gives us 100% of CPRE cases. All of the patients were submitted to surgical treatment with anatomic pathological confirmation of the diagnosis, be it pre or postoperative. We practiced curative surgery in 57.2% of the cases and palliative in 42.8% of the cases. We observed postoperative complications in 17.8% of the patients and peroperative mortality in 3.5%. Actual survival of the series of patients for whom exeretic surgery was performed is significantly superior to that of the other patients.
authors.affiliation: Unidad Hepática, Hospital Universitario La Fe, Valencia.
authors.forename: S
authors.initials: S
authors.lastname: Gómez Iglesias
authors.forename: P
authors.initials: P
authors.lastname: Sendra León
authors.forename: J
authors.initials: J
authors.lastname: Mir Pallardo
authors.forename: R
authors.initials: R
authors.lastname: López Andújar
authors.forename: A
authors.initials: A
authors.lastname: Moya Herráiz
authors.forename: F
authors.initials: F
authors.lastname: Orbis Castellanos
authors.forename: F
authors.initials: F
authors.lastname: Sanjuán Rodríguez
authors.forename: M
authors.initials: M
authors.lastname: de Juan Burgueño
mesh_terms: D000206:Actuarial Analysis; D000230:Adenocarcinoma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D000368:Aged; D000369:Aged, 80 and over; D014670:Ampulla of Vater; D003138:Common Bile Duct Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D016019:Survival Analysis
vernacular_title: Tumores malignos de la ampolla de Vater. Presentación de 28 cases y revisión de la literatura.