Portal de Periódicos da CAPES

Diagnóstico y tratamiento de los tumores de la papila de Vater

2009; Elsevier BV; Volume: 32; Issue: 2 Linguagem: Inglês

10.1016/j.gastrohep.2008.02.004

1578-9519

Vicente Lorenzo‐Zúñiga, Vicente Moreno de Vega, Eugeni Domènech, Jaume Boix,

Pancreatitis Pathology and Treatment

Tumors of the ampulla of Vater are called ampullary tumors and can arise from any of the three epithelia (duodenal, pancreatic and biliary) that delimit the papilla. These tumors are clinically important and early identification, appropriate staging and proper treatment are essential. The symptoms of these tumors are non-specific and not always evident. All ampullary tumors must be resected but opinions differ on the optimal method of excision. Currently, controlled trials are lacking and consequently the treatment chosen must be individually tailored according to the characteristics of the patient and the tumor. Curative treatment may be endoscopic or surgical. In patients who are not candidates for curative treatment, palliative treatment through drainage can be performed.