scholarly journals AN UNUSUALLY PROLONGED SURVIVAL IN METASTATIC PERIAMPULLARY PANCREATIC ADENOCARCINOMA

2016 ◽  
Vol 2 (4) ◽  
Author(s):  
Shafaq Maqsood ◽  
Usman Ahmad
Keyword(s):  
Bile Duct ◽  
Pancreatic Adenocarcinoma ◽  
Median Survival ◽  
Ampulla Of Vater ◽  
Periampullary Cancer ◽  
Distal Bile Duct ◽  
Poor Tolerance ◽  
Periampullary Region ◽  
Periampullary Carcinomas ◽  
Head Of Pancreas

Periampullary cancer is the term used for neoplasms arising from the head of pancreas, ampulla of Vater, distal bile duct and periampullary region of duodenum. Of these, the pancreatic adenocarcinoma carries the worst prognosis with majority of mortalities within the 1st year. The overall 5-year survival is <3%. Studies have shown that pancreatic carcinoma has the shortest median survival of 17.1 months of all periampullary carcinomas. With the development of metastasis, the median survival tends to reduce to 3–6 months. We are reporting a case of metastatic periampullary pancreatic adenocarcinoma that received minimal and interrupted chemotherapy due to poor tolerance and yet managed to survive far beyond the reported median survival. Key words: Adenocarcinoma, pancreas, periampullary, prognosis 

The Modes of Lymphnode Metastasis and Indication of Pyrolus Preserving Pancreaticoduodenectomy for Carcinoma of the Distal Bile Duct and Ampulla of Vater.

1993 ◽  
Vol 26 (7) ◽  
pp. 2013-2019 ◽  
Author(s):  
Ryoko Sasaki ◽  
Senji Kanno ◽  
Masahiko Murakami ◽  
Yoshiro Hayakawa ◽  
Yutaka Shimada ◽  
...  
Keyword(s):  
Bile Duct ◽  
Ampulla Of Vater ◽  
Distal Bile Duct ◽  
Lymphnode Metastasis

scholarly journals Neuroendocrine tumor of distal bile duct

2016 ◽  
Vol 72 ◽  
pp. S101-S104 ◽  
Author(s):  
J.K. Banerjee ◽  
R. Saranga Bharathi ◽  
Sharad Shrivastava ◽  
Praveer Ranjan
Keyword(s):  
Bile Duct ◽  
Neuroendocrine Tumor ◽  
Distal Bile Duct

scholarly journals Endoscopic laser lithotripsy for complicated bile duct stones: is cholangioscopic guidance necessary?

2007 ◽  
Vol 44 (2) ◽  
pp. 137-140 ◽  
Author(s):  
Ralf Jakobs ◽  
Julio C. Pereira-Lima ◽  
Aline W. Schuch ◽  
Lucas F. Pereira-Lima ◽  
Axel Eickhoff ◽  
...  
Keyword(s):  
Bile Duct ◽  
Laser Lithotripsy ◽  
Bile Duct Stones ◽  
Distal Bile Duct ◽  
Laser Guidance ◽  
Endoscopic Papillotomy ◽  
Intrahepatic Stones ◽  
Bile Duct Stenosis ◽  
Extracorporeal Shock Wave ◽  
Fluoroscopic Control

BACKGROUND: Endoscopic papillotomy is successful in more than 95% of the cases of choledocholithiasis. For patients with difficult bile duct stones not responding to mechanical lithotripsy, different methods for stone fragmentation have been developed. AIM: To compare the results of laser lithotripsy with a stone-tissue recognizing system, when guided by fluoroscopy only or by cholangioscopy. METHODS: Between 1992 and 2002 we have treated 89 patients with difficult bile duct stones by endoscopic retrograde cholangiopancreatography and laser lithotripsy. Unsuccessful extracorporeal shock-wave lithotripsy and electrohydraulic were also performed before laser in 35% and 26% of the cases, respectively. RESULTS: Laser was effective in 79.2% of 72 patients guided by cholangioscopy and in 82.4% of 17 cases steered by fluoroscopy. The median number of impulses in the latter was 4,335 and 1,800 with the former technique. Two parameters influenced the manner of laser guidance. In cases of stones situated above a stricture, cholangioscopic control was more effective (64.7% vs. 31.9%). When the stones were in the distal bile duct, fluoroscopic control was more successful. CONCLUSION: In cases of difficult stones in the distal bile duct, laser lithotripsy under fluoroscopic control is very effective and easily performed. Cholangioscopic guidance should be recommended just in cases of intrahepatic stones or in patients with stones situated proximal to a bile duct stenosis. In these cases, cholangioscopy should be performed either endoscopically or percutaneously.

Phase II Trial of Combination Chemotherapy with Gemcitabine, 5-Fluorouracil and Cisplatin for Advanced Cancers of the Bile Duct, Gallbladder, and Ampulla of Vater

2013 ◽  
Vol 99 (2) ◽  
pp. 139-144 ◽  
Author(s):  
Byeong Seok Sohn ◽  
Young Jin Yuh ◽  
Ki-hwan Kim ◽  
Tae Joo Jeon ◽  
Nam Sun Kim ◽  
...  
Keyword(s):  
Bile Duct ◽  
Phase Ii ◽  
Combination Chemotherapy ◽  
Phase Ii Trial ◽  
Ampulla Of Vater
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