Transduodenal Excision of Bleeding Periampullary Endocrine Tumor as a Bridge to Pancreaticoduodenectomy in a Jehovah's Witness Patient

We discuss the case of a Jehovah's Witness patient who presented with a bleeding endocrine periampullary mass. Transduodenal excision of the ampullary mass was successfully performed as a bridge to pancreaticoduodenectomy in this critically ill patient. The roles of pancreaticoduodenectomy and...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2006-03, Vol.10 (3), p.428-433
Main Authors: Grau, Ana M., Ballard, Billy R.
Format: Article
Language:English
Subjects:
Ampulla of Vater
Blood Loss, Surgical
Blood Transfusion
Blood transfusions
Common Bile Duct Neoplasms - diagnostic imaging
Common Bile Duct Neoplasms - surgery
Endocrine periampullary tumor
Humans
Jehovah's Witness
Jehovah's Witnesses
Jehovahs Witnesses
Male
Middle Aged
pancreaticoduodenectomy
Pancreaticoduodenectomy - methods
Tomography, X-Ray Computed
transduodenal excision
Treatment Refusal
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Description
Summary:We discuss the case of a Jehovah's Witness patient who presented with a bleeding endocrine periampullary mass. Transduodenal excision of the ampullary mass was successfully performed as a bridge to pancreaticoduodenectomy in this critically ill patient. The roles of pancreaticoduodenectomy and alternatives to pancreaticoduodenectomy in the emergency setting are reviewed, in particular, for patients who decline transfusion of blood products. The surgical approach to surgery and perioperative anemia in Jehovah's Witness patients is described. Finally, we reviewed the role of transduodenal excision in the management of ampullary tumors and describe its use as a bridge to pancreaticoduodenectomy in a patient with a malignant neoplasm of the ampulla.
ISSN:1091-255X
1873-4626
DOI:10.1016/j.gassur.2005.06.018