Malignant tumors of the periampullary region

Aim: To evaluate the clinical features and management of malignant tumors of the periampullary region at the University of Benin Teaching Hospital from January 1980 to December 1999. Methods: The case files of the patients were retrieved from the medical records library. All clinico-demographic data...

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Main Authors: Michael N Okobia, Usifo Osjme
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2001-01-01
Series:International Journal of Medicine and Health Development
Subjects:
Online Access:http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2001;volume=6;issue=2;spage=74;epage=77;aulast=Okobia;type=0
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author Michael N Okobia
Usifo Osjme
author_facet Michael N Okobia
Usifo Osjme
author_sort Michael N Okobia
collection DOAJ
description Aim: To evaluate the clinical features and management of malignant tumors of the periampullary region at the University of Benin Teaching Hospital from January 1980 to December 1999. Methods: The case files of the patients were retrieved from the medical records library. All clinico-demographic data relating to age, sex, clinical symptoms and signs, investigations, operative findings and procedures and postoperative care were obtained. Additional information was obtained from the records of the ooperating theatres and surgical wards of the hospital. Results: A total of 36 patients were seen but the case files of 29 patients comprising 20 males and 9 females were available for study. Thirteen of these tumors were histologically confirmed adnocarcinoma of the pancreas. All of these patients had explorlatory laparotomy and various operative procedures were carried out in 24 patients. Five patients had only biopsy as by-pass procedures were not possible due to huge tumor mass. There was prompt relief of jaundice and pruritus in the immediate postoperative period in those patients that had by-pass procedures. The average survival was nine months. Conclusions: Periampullary tumors appear to be less common in our environment compared with Europe and North America. Although by-pass procedures resulted in prompt relief of symptoms, the disease was associated with high mortality.
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spelling doaj.art-0893c3048e3541f2922dc66830f8c3bc2022-12-22T04:39:20ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952001-01-01627477Malignant tumors of the periampullary regionMichael N OkobiaUsifo OsjmeAim: To evaluate the clinical features and management of malignant tumors of the periampullary region at the University of Benin Teaching Hospital from January 1980 to December 1999. Methods: The case files of the patients were retrieved from the medical records library. All clinico-demographic data relating to age, sex, clinical symptoms and signs, investigations, operative findings and procedures and postoperative care were obtained. Additional information was obtained from the records of the ooperating theatres and surgical wards of the hospital. Results: A total of 36 patients were seen but the case files of 29 patients comprising 20 males and 9 females were available for study. Thirteen of these tumors were histologically confirmed adnocarcinoma of the pancreas. All of these patients had explorlatory laparotomy and various operative procedures were carried out in 24 patients. Five patients had only biopsy as by-pass procedures were not possible due to huge tumor mass. There was prompt relief of jaundice and pruritus in the immediate postoperative period in those patients that had by-pass procedures. The average survival was nine months. Conclusions: Periampullary tumors appear to be less common in our environment compared with Europe and North America. Although by-pass procedures resulted in prompt relief of symptoms, the disease was associated with high mortality.http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2001;volume=6;issue=2;spage=74;epage=77;aulast=Okobia;type=0periampullary tumorslaparotomypalliative procedurespancreaticoduodenectomy
spellingShingle Michael N Okobia
Usifo Osjme
Malignant tumors of the periampullary region
International Journal of Medicine and Health Development
periampullary tumors
laparotomy
palliative procedures
pancreaticoduodenectomy
title Malignant tumors of the periampullary region
title_full Malignant tumors of the periampullary region
title_fullStr Malignant tumors of the periampullary region
title_full_unstemmed Malignant tumors of the periampullary region
title_short Malignant tumors of the periampullary region
title_sort malignant tumors of the periampullary region
topic periampullary tumors
laparotomy
palliative procedures
pancreaticoduodenectomy
url http://www.ijmhdev.com/article.asp?issn=2635-3695;year=2001;volume=6;issue=2;spage=74;epage=77;aulast=Okobia;type=0
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