1.Intraabdominal tuberculosis found by abnormal finding of ampulla of Vater.
Sang Woo LIM ; Tae Dong KIM ; Tae Il LEE ; Suk KIM
Korean Journal of Medicine 2006;70(4):467-468
No abstract available.
Ampulla of Vater*
;
Duodenum
;
Tuberculosis*
2.Primary outcomes of ampullary resection, bile ductoplasty and pancreatic ductoplasty through incision of D2 duodenum
Journal of Practical Medicine 2005;510(4):35-37
Study on 4 cases of malignant tumor of Vater’s ampulla operated at Viet-Duc Hospital and 1 case treated at University of Medicine and Pharmacy at Ho Chi Minh City between August 2003 and December 2004. Results: clinical sign is biliary obstruction jaundice. Gastroduodenoscopy with flexible tube found that papilla of Vater with the diameter lower than 3cm (histological finding: carcinomas), without metastasis to adjacent duodenum. Tumor invasion into head of pancreas and the lower of choledochous duct was determined by pancreatic and liver ultrasound, CT scanner or MRI examinations, in combination with intraoperative balance, immediate biopsy of lymph nodes in group 14 and group 8, sections of bile duct, pancreatic duct and duodenum in order to ensure the elimination of surgery. Initial outcomes showed that there wasn’t post-operative complication or death.
Ampulla of Vater
;
Duodenum
;
Therapeutics
;
Surgery
3.Problems of Pathologic T Staging in Ampullary Neoplasm.
Korean Journal of Pancreas and Biliary Tract 2014;19(3):117-120
Ampulla of Vater (AoV) is a small dilated duct less than 1.5 cm long, formed by the union of pancreatic duct and common bile duct. AoV has also anatomic layer of mucosa, sphincter of Oddi, perisphincteric or duodenal submucosa, and duodenal proper muscle, which corresponds to mucosa, muscularis mucosa, submucosa, and proper muscle layer of other gastrointestinal tract organs, respectively. Because of its small compact size and variation of anatomic structure, it is sometimes difficult to identify layering architecture of AoV. This anatomic difficulty may cause some problem in T classification of ampullary carcinoma (AC). The most confusing point in T classification is the vague definition of T2, "Tumor invades duodenal wall". It seems that duodenal wall includes duodenal mucosa, submucosa, and proper muscle layer. However there is no precise description or definition about duodenal wall that might lead personal variation in T classification of AC staging. We found that clinical course of AC with perisphincteric and/or duodenal submucosal invasion is more close to AC with T2 than T1. Although it is described as T1b according to T classification scheme of ordinary gastrointestinal tract cancer, we thought AC with T1b may have more high-grade malignant potential than those of other gastrointestinal (GI) tract malignancy. AC showed various clinicopatholgic findings that represent heterogeneous tumor groups within category of AC. Recently site-specific classification of AC was introduced, and it showed relatively well-categorized clinical prognosis. It may be reasonable to understand site-specific tumorigenesis in AC. The standard gross protocol is needed to evaluate pathologic T classification of AC. In conclusion, ampullary neoplasm is composed of various subtypes, which require a separate approach according to anatomic epicenter of ampullary neoplasm. Although submucosal invasion in AC was classified into pT1b, its' biologic behavior is more close to pT2.
Ampulla of Vater
;
Carcinogenesis
;
Classification
;
Common Bile Duct
;
Duodenum
;
Gastrointestinal Neoplasms
;
Gastrointestinal Tract
;
Humans
;
Mucous Membrane
;
Neoplasm Staging
;
Pancreatic Ducts
;
Prognosis
;
Sphincter of Oddi
4.Percutaneous transhepatic removal of common bile duct stone: a case report.
Yong Moon SHIN ; Joon Koo HAN ; Byung Ihn CHOI ; Jae Hyung PARK ; Man Chung HAN ; Yong Hyun PARK
Journal of the Korean Radiological Society 1992;28(1):24-27
Percutaneous transhepatic intervention for removal of common bile duct stones is introduced as a secondary choice of treatment in the high-risk patient. Through a percutaneous transhepatic biliary drainage catheter, a Dormia basket was inserted and the stone was entraped. Then the stone was crushed and fragments were passed spontaneously to the duodenum through the Ampulla of Vater. We experienced one case of successful treatment of a common bile duct stone using percutaneous transhepatic insertion of the Dormia basket.
Ampulla of Vater
;
Catheters
;
Common Bile Duct*
;
Drainage
;
Duodenum
;
Humans
5.A clinical analysis of primary malignant tumors of duodenum.
Wan Suk PARK ; Sun Whe KIM ; Kuhn Uk LEE ; Yong Hyun PARK ; Kuk Jin CHOE ; Jin Pok KIM
Journal of the Korean Surgical Society 1992;43(2):211-219
No abstract available.
Duodenum*
7.A Case of Tubulovillous Adenoma Involving Ampulla of Vater, which Recurred after Local Excision.
Kang Hyeon CHOE ; Sung Koo LEE ; Myung Hwan KIM ; Young Il MIN ; Suck Joon HONG
Korean Journal of Gastrointestinal Endoscopy 1991;11(1):93-96
The villous adenoma of the duodenum is a rare disease and a considerable portion of the cases are known to be associated with malignancy. Although the diagnosis can be made with duodenoscopy, some cases showed false negative rate for malignancy detection with endoscopic biopsy only. So Whipple's operation is preferred than local excision. We experienced a case of tubulovillous adenoma involving ampulla of Vater, which recurred after local excision. So we report a case of tubulovillous adenoma involving ampulla of Vater with relevant literature.
Adenoma*
;
Adenoma, Villous
;
Ampulla of Vater*
;
Biopsy
;
Diagnosis
;
Duodenoscopy
;
Duodenum
;
Rare Diseases
8.A Case of Endoscopic Management of Dieulafoy's Lesion in the Ampulla of Vater.
Ki Won HWANG ; Jae Hyung LEE ; Joo Ho LEE ; Sang Yong LEE ; Tae Oh KIM ; Gwang Ha KIM ; Jeong HEO ; Dae Hwan KANG ; Geun Am SONG ; Mong CHO
Korean Journal of Gastrointestinal Endoscopy 2006;32(5):357-360
Dieulafoy's lesion is an uncommon but important cause of massive upper gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction but extragastric locations of Dieulafoy's lesion are rare. In this study, diagnosis of Dieulafoy's lesion was frequently made by endoscopy instead of surgery. Hemostasis was achieved by endoscopic treatment in more than 90% of patients. We report the successful application of endoscopic hemoclipping for treatment of active bleeding from Dieulafoy's lesion in the ampulla of Vater of the duodenum.
Ampulla of Vater*
;
Diagnosis
;
Duodenum
;
Endoscopy
;
Esophagogastric Junction
;
Hemorrhage
;
Hemostasis
;
Humans
;
Stomach
9.Congenital Duodenal Web Associated with a Foreign Body (Go Stone) in a 10-Year-Old Girl.
Woo Hyun PARK ; Soon Ok CHOI ; Jin Bok HWANG
Journal of the Korean Association of Pediatric Surgeons 2005;11(2):171-174
Chronic duodenal obstruction related to a congenital web is a rare anomaly that is sometimes difficult to diagnose preoperatively. A case of partial duodenal obstruction along with a foreign body by a congenital duodenal web in a 10-year- old girl is presented. She has had one year history of intermittent epigastric discomfort without nausea, vomiting and growth retardation. The studies including UGI series and gastroduodenoscopy disclosed a perforated web in the 2nd portion of the duodenum and a dark go stone just proximal to the web. Via a longitudinal duodenotomy across the web, the web was partly excised with preservation of ampulla of Vater and the duodenum was closed in transverse fashion. The aperture of ampulla of Vater was located at 7 o'clock direction of posterior surface of the duodenal web. This particular case reminds clinicians to consider a duodenal web in a youngster presenting with a longstanding foreign body in the duodenum as one of the underlying pathologies.
Adolescent
;
Ampulla of Vater
;
Child*
;
Duodenal Obstruction
;
Duodenum
;
Female*
;
Foreign Bodies*
;
Humans
;
Nausea
;
Pathology
;
Vomiting
10.Two cases of gallbladder cancer diagnosed by detection of hemobilia.
Kyeong Ok KIM ; Byung Ik JANG ; Jong Ryul EUN ; Kyu Hyung LEE ; Si Hyung LEE ; Tae Nyeun KIM
Korean Journal of Medicine 2009;76(3):352-357
Hemobilia is a hemorrhage into the biliary tract and is a relatively rare cause of bleeding in the digestive tract. Gallbladder cancer is the most common tumor in the biliary tract. Gastrointestinal bleeding including hemobilia is reported in only 3% of cases of gallbladder cancer. Here, we report two rare cases of gallbladder cancer diagnosed by the detection of hemobilia. One case was an anemic patient with no abnormal endoscopic findings; capsule endoscopy showed blood in the duodenum and repeat gastroendoscopy revealed hemorrhage from the ampulla of Vater. The diagnosis of early gallbladder cancer was made and the patient underwent surgery and was followed-up. The other case presented with a symptom triad including hemobilia, and endoscopic retrograded cholangiopancreatography (ERCP) revealed hemobilia and a filling defect in the gallbladder. This patient also underwent radical cholecystectomy with the diagnosis of gallbladder cancer.
Ampulla of Vater
;
Biliary Tract
;
Capsule Endoscopy
;
Cholecystectomy
;
Duodenum
;
Gallbladder
;
Gallbladder Neoplasms
;
Gastrointestinal Tract
;
Hemobilia
;
Hemorrhage
;
Humans