Skip to main content
SpringerLink
Log in

Non-vaterian duodenal adenomas: Report of 24 cases and review of the literature

  • Published:
Gastrointestinal Radiology Aims and scope Submit manuscript

Abstract

Twenty-four cases of duodenal adenomas which did not originate at the ampulla of Vater are discussed. The radiographic and clinical features of these lesions are presented together with a review of 120 cases previously reported in the literature. The role of barium studies and endoscopy in the evaluation of these adenomas is emphasized. A diameter of more than 5 cm represents a criterion favoring malignant degeneration of such non-Vaterian adenomas.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Albot G, Lunel J, Carayon P: Étude clinique et radiologique des tumeurs bénignes, hamartomes et hétérotopies de la région antro-pylorique, du bulbe et de l'anneau duodénal.Actual Hepatogastroenterol (Paris) 2:158–192, 1966

    Google Scholar 

  2. Hancock RJ: An 11-year review of primary tumors of the small bowel including the duodenum.Can Med Assoc J 103:1177–1179, 1970

    PubMed  Google Scholar 

  3. River L, Silverstein J, Tope JW: Benign neoplasms of the small intestine. A critical comprehensive review with reports of 20 new cases.Int Abstr Surg 102:1–38, 1956

    Google Scholar 

  4. Saibil E, Guttman F, Palayew MJ: Villous adenoma of the duodenum. A case report and review of the literature.J Can Assoc Radiol 23:257–258, 1972

    PubMed  Google Scholar 

  5. Schulten MF, Oyasu R, Beal JM: Villous adenoma of the duodenum. A case report and review of the literature.Am J Surg 132:90–96, 1976

    Article  PubMed  Google Scholar 

  6. Bockus HL:Gastroenterology. VII. 2nd Ed. Philadelphia: W.B. Saunders, 1964

    Google Scholar 

  7. Charles RN, Kelley ML Jr, Campeti F: Primary duodenal tumors: a study of thirty-one cases.Arch Intern Med 111:23–33, 1963

    PubMed  Google Scholar 

  8. Darling RC, Welch CE: Tumors of the small intestine.N Engl J Med 260:397–408, 1959

    PubMed  Google Scholar 

  9. Choctaw WT, Burbige EJ, Mac Candless CM: Duodenal villous adenoma.Am Surg 46:640–643, 1980

    PubMed  Google Scholar 

  10. Hoffman BP, Grayzel DM: Benign tumors of the duodenum.Am J Surg 3:394–400, 1945

    Article  Google Scholar 

  11. Raiford TS: Tumours of the small intestine.Arch Surg 25:122–177, 1932

    Google Scholar 

  12. Ostermiller W, Joergenson EJ, Weibel L: A clinical review of tumors of the small bowel.Am J Surg 111:403–409, 1966

    PubMed  Google Scholar 

  13. Krivine JM, Hivet M, Levame M: Les tumeurs apparemment bénignes du duodénum.Ann Chir 18:588–609, 1964

    PubMed  Google Scholar 

  14. Andersen A, Iversen O, Ostberg J: Primary tumors of the duodenum.Acta Chir Scand [Suppl] 343:28–36, 1965

    Google Scholar 

  15. Barbier JP: Tumeurs bénignes duodénales. Confrontations radiologiques et endoscopiques.Sem Hop Paris 50:1683–1689, 1974

    PubMed  Google Scholar 

  16. Boyer CW, Helfrich RB: Adenoma of the duodenal bulb.AJR 90:753–755, 1963

    Google Scholar 

  17. Bremer EH, Battaile WG, Bulle PH: Villous tumors of the upper gastrointestinal tract: clinical review and report of a case.Am J Gastroenterol 50:135–143, 1968

    PubMed  Google Scholar 

  18. Brookman MR: Papilloma of the duodenum.Ann Surg 91:626–629, 1930

    Google Scholar 

  19. Cooperman M, Clausen KP, Hecht C, Lucas JG, Keith LM: Villous adenomas of the duodenum.Gastroenterology 74:1295–1297, 1978

    PubMed  Google Scholar 

  20. Dupas JL, Marti R, Capron JP, Delamarre J: Villous adenoma of the duodenum. Endoscopic diagnosis and resection.Endoscopy 9:245–247, 1977

    PubMed  Google Scholar 

  21. Dwyer WA, O'Brien RF: Duodenal obstruction due to a malignant villous adenoma.J Med Soc NJ 67:411–419, 1970

    Google Scholar 

  22. Dwyer WA, O'Brien R, Maio T: Villous adenomas and malignant villous tumors of the duodenum. Case report and review of literature.Conn Med 39:286–290, 1975

    PubMed  Google Scholar 

  23. Fuller JW, Cruse CW, Williams JW, Sherman RT: Primary surgical lesions of the duodenum.Rev Surg 33:384–388, 1976

    Google Scholar 

  24. Gold BM: Duodenal filling defect.JAMA 241:2734–2735, 1979

    Article  PubMed  Google Scholar 

  25. Golden R: Nonmalignant tumors of the duodenum.AJR 20:404–413, 1928

    Google Scholar 

  26. Greenwald ES, Parter JG, Shultz S, Reed GE: Benign papilillary adenoma of the ampullary region of the duodenum with intussuception.Gastroenterology 43:344–350, 1962

    PubMed  Google Scholar 

  27. Haffejee A, Angorn I, Baker L: Villous tumour of the duodenum.S Aft Med J 50:1900–1901, 1976

    Google Scholar 

  28. Hessler PC, Braunstein E: Adenocarcinoma of the duodenum arising in a villous adenoma.Gastrointest Radiol 2:355–357, 1978

    Article  PubMed  Google Scholar 

  29. Johansen A, Larsen E: Adenomas of the small intestine. A report of four cases with special reference to their relation to carcinomas.Acta Pathol Microbiol Scand 75:247–256, 1969

    PubMed  Google Scholar 

  30. Jones PE, Clegg JF: Villous adenomas in the blind duodenal lopp.Postgrad Med J 49:657–660, 1973

    PubMed  Google Scholar 

  31. Joyeux R: Les tumeurs bénignes intrinsèques (non vatériennes) du duodénum.Montpellier Med 39:21–45, 1951

    PubMed  Google Scholar 

  32. Kutin ND, Ranson JHC, Gouge TH, Localio A: Villous tumors of the duodenum.Ann Surg 181:164–168, 1975

    PubMed  Google Scholar 

  33. Macumber HN, Stoll RG, Helwig FC: Papillary adenoma of the duodenum producing obstruction.Gastroenterology 13:468–470, 1949

    PubMed  Google Scholar 

  34. Makkar J, Song KT, Cogbill CL: Villous adenoma of the duodenum: report of a case with massive hemorrhage.Am Surg 35:656–659, 1969

    PubMed  Google Scholar 

  35. Maimed LA, Levin B: Villous adenoma of the duodenum.AJR 94:362–365, 1965

    Google Scholar 

  36. Mir-Madjlessi SH, Farmer RG, Hawk WA: Villous tumors of the duodenum and jejunum. Report of four cases and review of the literature.Am J Dig Dis 18:467–476, 1973

    Article  PubMed  Google Scholar 

  37. Miura T, Hamada T, Miyata A, Matsuyoshi H: Villous adenoma of the duodenum.Clin Radiol (Jap) 12:131–133, 1967

    Google Scholar 

  38. Moersch RN, Woolner LB, Clagett OT: Villous adenoma of the duodenum.Surgery 51:514–511, 1962

    Google Scholar 

  39. Moulinier B, Faivre J, Marchat F, Lesbros F, Lambert R: Endoscopic removal of benign gastroduodenal tumours.Endoscopy 7:121–125, 1975

    Google Scholar 

  40. Navazawa S: Two cases of papillary adenoma of the duodenum.Jpn J Clin Radiol 17:442–449, 1972

    Google Scholar 

  41. Palmisano PJ, Guzzo FP: Benign villous tumor of the duodenum.J Fla Med Assoc 59:35–36, 1972

    PubMed  Google Scholar 

  42. Piffaretti PG, Tatti V, Molo C, Legobbe E: Adenoma villoso del duodeno.Radiol Clin Biol 36:351–364, 1967

    Google Scholar 

  43. Pollack EW, Crow J, Jacobs WH, Choctaw WT: Villous duodenal adenoma. A less aggressive approach.J Kans Med Soc 82:231–232, 1981

    PubMed  Google Scholar 

  44. Ring EJ, Ferrucci JT Jr, Eaton SB Jr, Clements JL: Villous adenomas of the duodenum.Radiology 104:45–48, 1972

    PubMed  Google Scholar 

  45. Schorsch HA, Gutierrez N: Villous adenoma of the duodenum.Am J Gastroenterol 44:382–384, 1965

    PubMed  Google Scholar 

  46. Serrano JF, Mac Peak CJ: Primary neoplasms of the duodenum.Surgery 59:199–202, 1966

    PubMed  Google Scholar 

  47. Shah SN, Elibol T, Aquilina JT: Villous adenoma of the duodenum and multiple duodenal polyps. A case report.Gastrointest Endosc 18:179–180, 1972

    PubMed  Google Scholar 

  48. Shaw JHF: Villous adenomas of the duodenum.NZ Med J 92:235–236, 1980

    Google Scholar 

  49. Steinberg LS, Shieber W: Villous adenomas of the small intestine.Surgery 71:423–428, 1972

    PubMed  Google Scholar 

  50. Uppaputhangkule V, Maas LC, Gelzayd EA: Endoscopic diagnosis of villous adenoma of the duodenum.Gastrointest Endosc 23:97–98, 1976

    PubMed  Google Scholar 

  51. Waters CA: The roentgenologic diagnosis of papilloma of the duodenum.AJR 24:554–557, 1930

    Google Scholar 

  52. Albot G, Poilleux F, Cherigie E, Berthet G, Saint-Ouen C: Hémorragies par tumeurs bénignes de la deuxième portion du duodénum.Arch Fr Mal App Dig 45:129–152, 1959

    Google Scholar 

  53. Albot G, Camilleri JP: Hémorragies intestinales cataclysmiques, révélatrices d'un adénome brunnérien massif de la seconde portion du duodénum.Ann Gastroenterol Hepatol 7:313–325, 1971

    Google Scholar 

  54. Barnhari GR, Maull Kl: Brunner's gland adenomas: clinical presentation and surgical management.South Med J 12:1531–1539, 1979

    Google Scholar 

  55. Beccaria A, Oliaro A, Sasso D, Aimone U, Massa F: L'adenoma brunneriano del duodeno.Minerva Gastroenterol 28:1231–1244, 1973

    Google Scholar 

  56. Biscarini R, Ricci Maccarini P: I tumori bénigni del duodeno. Osservazione di due casi a localizzazione bulbare.Osped Ital Chir 20:43–49, 1969

    Google Scholar 

  57. Boquien Y, Kerneis JP, Lenne Y, Cordier J: Les adénomes duodénaux.Gaz Hop (Paris) 68:22–34, 1961

    Google Scholar 

  58. Borron RWJ, Goldberg L, Knowlton CE: Polyp of the duodenal bulb. Report of a case.Radiology 59:570–572, 1952

    PubMed  Google Scholar 

  59. Cogolo L, Pastorino G, Galli E, Gazzaniga GM: Osservazioni su due case di adenomi brunneriani del duodeno.Minerva Gastroenterol 21:277–281, 1975

    PubMed  Google Scholar 

  60. Geffroy Y, Fablet J, Hernandez C, Jouanneau P, Laumonier R: Artériographie sélective dans un cas de meloena à répétition. Polyadénome duodénal.Arch Fr Mal App Dig 56:965–969, 1967

    PubMed  Google Scholar 

  61. Goldman RL: Hamartomatous polyp of Brunner's glands.Gastroenterology 44:57–62, 1963

    PubMed  Google Scholar 

  62. Hillemand P, Charrier J, Cherigie J, Bonnette J: Adénome Brünnerien de la 2ème portion du duodénum.Arch Fr Mal App Dig 38:1151–1154, 1949

    Google Scholar 

  63. Jourdain LM, Enrile TE: Multiple adenomas of Brunner's gland.J Abdomin Surg 14:30–31, 1972

    Google Scholar 

  64. Lawrence W Jr, Mac Neill DD Jr, Cohen A, Terz JJ: Benign duodenal tumors: unusual surgical problems.Ann Surg 172:1015–1022, 1970

    PubMed  Google Scholar 

  65. Liguori G: Emorragia massiva da adenoma del duodeno; une rara indicazione d'urgenza in chirurgia digestiva.Acta Chir Ital 27:261–269, 1971

    PubMed  Google Scholar 

  66. Natale C, Perrotti E: Contributo all'adenoma brunneriano del duodeno.Ospedltal Chir 18:229–236, 1968

    Google Scholar 

  67. Osborne R, Toffler R, Lowman RM: Brunner's gland adenoma of the duodenum.Am J Dig Dis 18:689–694, 1973

    Article  PubMed  Google Scholar 

  68. Petrin C, Galli R, Pirazzoli PP: Polipo della seconda porzione duodenale (adenoma misto, lieberkuhniano e brunneriano).Cancro 21:149–164, 1968

    PubMed  Google Scholar 

  69. Poilleux J, Salmon FP, Lagadec B, Hivet M: Les tumeurs bénignes du duodénum. A propos de 16 observations.Ann Gastroenterol Hepatol 8:557–567, 1972

    Google Scholar 

  70. Silverman L, Waugh JM, Huizenga KA, Harrison EG Jr: Large adenomatous polyp of Brunner's glands.Am J Clin Pathol 36:438–443, 1961

    PubMed  Google Scholar 

  71. Soulen RL, Lewis PL: Intussusception of a malignant duodenal polyp.AJR 86:903–905, 1961

    Google Scholar 

  72. Stassa G, Klingensmith WC: Primary tumors of the duodenal bulb.AJR 107:105–110, 1969

    Google Scholar 

  73. Stokes JF, Turnberg LA, Hawksley JC: Hyperplasia of Brunner's glands.Gut 5:459–462, 1964

    Google Scholar 

  74. Warren KW, MacDonald WM, Humelogan CJ: Periampullary and duodenal carcinoid tumours.Gut 5:448–453, 1964

    Google Scholar 

  75. Nelson JA, Sheft DJ, Minagi H, Ferruci JT Jr: Duodenal pseudopolyp. The flexure fallacy.AJR 123:262–265, 1975

    Google Scholar 

  76. Eklof O, Eriksson E, Sahlin O: Benign epithelial tumours of the stomach and duodenum. Diagnosis and treatment.Acta Chir Scand 255:1–32, 1960

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiology, Centre A. Lacassagne, 36 Voie Romaine, 06054, Nice Cedex, France

    Jean C. Delpy, Jean N. Bruneton M.D. & Paul Lecomte

  2. Department of Radiology, Hôpital du Haut Lévêque, Pessac, France

    Jacques Drouillard

Authors
  1. Jean C. Delpy
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jean N. Bruneton M.D.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Jacques Drouillard
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Paul Lecomte
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Delpy, J.C., Bruneton, J.N., Drouillard, J. et al. Non-vaterian duodenal adenomas: Report of 24 cases and review of the literature. Gastrointest Radiol 8, 135–141 (1983). https://doi.org/10.1007/BF01948106

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01948106

Key words

Search

Navigation