سرطان مجل فاتر تشخيص وتدبير

Authors

  • أكثم قنجراوي

Abstract

شملت الدراسة 71 مريضاً قبلوا في مشفى الأسد الجامعي باللاذقية بين عامي 1992-2007، اليرقان الصامت المتموّج المترقي كان الشكاية الأكثر شيوعاً بنسبة 96%. تم تقسيم المرضى لأربع مجموعات حسب التدبير: استئصال المعثكلة والعفج عند 11 مريضاً، واستئصال المجل موضعياً عند 9 مرضى،وإجراءات جراحية تلطيفية عند 30 مريضاً ، وأجري الـ ERCP العلاجي مع وضع Stent عند 21 مريضاً.

36% من المرضى الذين خضعوا للجراحة كانوا في المرحلة ( Stage III) حسب تصنيف TNM.

السرطانة الغدية هي الأكثر توارداً بالتشريح المرضي بنسبة 81.9%.

كانت النواسير المعثكلية من أهم المضاعفات ما بعد الجراحة. وحدثت حالتا وفاة.

الكبد هو الموضع الأول للنكس البعيد ( النقائل البعيدة) .

الاستئصال  المعثكلي العفجي ( ويبل وتعديلاتها) هو إجراء آمن وذو نتائج جيدة ومعدل بقيا جيد.

This study includes 71 patients admitted to Al-Assad University Hospital in Lattakia between 1992 and 2007. The most common symptom has been silent fluctuant jaundice 96%. According to management, patients are divided into four groups: pancreaticodnodnodenctomy is done on 11 patients, local resection of Vater's ampulla  procedure is carried out on 9 patients, palliative operations on 30 patients, and ERCP +Stent is performed on 21 patients. 36% of patients who have undergone surgery are classified as Stage III. Pathologically, 81.9 % of  patients have Adenocarcinoma. Pancreatic fistulas are the most common post-operation complications; two patients are reported dead. The liver is the most common place for metastasis. Pancreaticodnodnodenctomy is a safe procedure with good results and high rescue rate.

Downloads

Published

2019-01-16

How to Cite

1.
قنجراوي أ. سرطان مجل فاتر تشخيص وتدبير. Tuj-hlth [Internet]. 2019Jan.16 [cited 2024Nov.28];30(2). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6520

Issue

Vol. 30 No. 2 (2008): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

Most read articles by the same author(s)

1 2 > >>