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Transduodenal excision of bleeding periampullary endocrine tumor as a bridge to pancreaticoduodenectomy in a jehovah’s witness patient

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Abstract

We discuss the case of a Jehovah’s Witness patient who presented with a bleeding endocrine periampul-lary mass. Transduodenal excision of the ampullary mass was successfully performed as a bridge to pan-creaticoduodenectomy 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 ma-lignant neoplasm of the ampulla.

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Authors and Affiliations

  1. Department of Surgery, Meharry Medical College and Vanderbilt University, 1005 Dr. D.B. Todd Jr. Blvd., 4th Floor, 37208, Nashville, TN

    Ana M. Grau M.D., F.A.C.S.

  2. Department of Pathology, Meharry Medical College, Nashville, Tennessee

    Billy R. Ballard D.D.S., M.D.

Authors
  1. Ana M. Grau M.D., F.A.C.S.
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  2. Billy R. Ballard D.D.S., M.D.
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Corresponding author

Correspondence to Ana M. Grau M.D., F.A.C.S..

Additional information

Supported in part by NCI Grant U54 CA 091408-02, Comprehensive MMC/VICC Cancer Research Partnership grant.

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Grau, A.M., Ballard, B.R. Transduodenal excision of bleeding periampullary endocrine tumor as a bridge to pancreaticoduodenectomy in a jehovah’s witness patient. J Gastrointest Surg 10, 428–433 (2006). https://doi.org/10.1016/j.gassur.2005.06.018

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