{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:40:02Z","timestamp":1723070402289},"reference-count":0,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":3080,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HPB Surgery"],"published-print":{"date-parts":[[1992,1]]},"abstract":"<jats:p>A retrospective review of 56 patients operated upon for tumours of Oddi was performed in order to\ndetermine optimal diagnostic and therapeutic procedures.\nCommon presenting symptoms were jaundice (86%) and anemia (21%). Mean size of the tumour was\n2.3 cm. Five tumours were benign and 51 were malignant. According to the classification of Martin, five\nwere grade I: 10 grade II; 18 grade III; and 18 grade IV. Forty\u2010seven patients underwent resection of the\ntumour: three local excisions for small benign tumors, six ampullectomies (followed in three by a\nWhipples\u2019 procedure for recurrence) and 41 Whipples\u2019 procedures. The hospital mortality was 5.3%,\nminor complications appeared in 21%.\nThe overall five years survival was 41%. It was 75% in grade I, 50% in grade II, 40% in grade III and\n10% in grade IV. The patients who received ampullectomies were alive with a follow\u2010up of one, two and\nthree years. All patients operated upon for a benign tumour were alive except one who died of cardiac\nfailure. Ultrasonography and duodenoscopy are the most useful tests for the diagnosis of tumours of\nOddi. Prognosis depends on the degree of infiltration of the duodenal wall and the presence of positive\nlymph nodes. Whipples\u2019 procedure is best but ampullectomy can be used in elderly or poor risk patients.\nMalignant tumours of the ampullary region are infrequent and reported to constitute betwee 0.02 and\nfive percent of all cancers of the digestive tract. With wider application of endoscopic techniques, there\nhas been an increasing interest in this group of tumours during recent years. In the literature tumours of\nOddi are usually reported in the group of periampullary tumours, including tumours of the ampulla\nitself, duodenal wall surrounding the ampulla, the distal part of the common bile duct and head of the\npancreas. We have wanted to distinguish specifically the tumours of the ampulla of Vater and have\nadopted the term tumour of Oddi introduced by Marchal and Hureau.The sphincter of Oddi exactly\ndelineates the junction between the bile duct, pancreatic duct and duodenum. We wanted to avoid using\nthe anatomic term ampulla of Vater, since this structure rarely appears as an ampulla. This then\nexcludes tumours in the head of pancreas, common bile duct above ths phincter of Oddi and tumours of\nthe duodenal wall adjacent to the papilla. These tumours seem to behave differently from other\npancreatic tumours, as they carry a different prognosis and need special attention. We have therefore\nreviewed retrospectively 56 patients with tumours of Oddi with special reference to diagnosis,\nhistopathologic examination and surgical therapy.<\/jats:p>","DOI":"10.1155\/1992\/54935","type":"journal-article","created":{"date-parts":[[2007,9,13]],"date-time":"2007-09-13T09:19:26Z","timestamp":1189675166000},"page":"123-133","source":"Crossref","is-referenced-by-count":5,"title":["Tumours of Oddi: Diagnosis and Surgical Treatment"],"prefix":"10.1155","volume":"5","author":[{"given":"B.","family":"Nordlinger","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"B.","family":"Jeppsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"El-Khoury","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.","family":"Hannoun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Frileux","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Huguet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Malafosse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Parc","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,7,27]]},"container-title":["HPB Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/archive\/1992\/054935.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/1992\/54935","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,7]],"date-time":"2024-08-07T22:15:43Z","timestamp":1723068943000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/1992\/54935"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,7,27]]},"references-count":0,"journal-issue":{"issue":"2","published-print":{"date-parts":[[1992,1]]}},"alternative-id":["10.1155\/1992\/54935"],"URL":"https:\/\/doi.org\/10.1155\/1992\/54935","archive":["Portico"],"relation":{},"ISSN":["0894-8569","1607-8462"],"issn-type":[{"type":"print","value":"0894-8569"},{"type":"electronic","value":"1607-8462"}],"subject":[],"published":{"date-parts":[[1991,7,27]]}}}