What is ampular carcinoma?

Ampular carcinoma, also called Vater ampully carcinoma, is a type of malignant tumor that develops in a part of the bile ducts. This part is called Ampulla Vater and is located at the end of the pipe, which shares the gallbladder and abdominal. This pipe flows into the duodenum of the small intestine. Ampoula carcinoma is unusual; In the United States, for example, this type of only 0.2% of all gastrointestinal cancer is.

Many symptoms of ampular carcinoma evolve as a result of blocking the channel that flows into the duodenum. If the tumor grows sufficiently large, it can partially or fully block the pipes and prevent the flow of bile over the pipeline. This in turn causes the bile pingment called bilirubin . It may also feel incompetent or reluctant to eat. Many of Nichmptoms are the result of bilirubin accumulation. Physical examination may show that the gallbladder is enlarged and stretched and ultrasound determines the location of bile ducts blocking.

Standard treatment of ampular carcinoma is a type of surgery called pancreatic -odenectomy or Whipple procedure . During this surgery, the gallbladder is removed together with the parts of the small intestine, part of the common bile ducts and parts of the abdominal. In addition, lymph nodes adjoining this area may be removed.

Another treatment of ampular cancer is chemotherapy and radiation therapy. These therapies are commonly used as adjuvant therapies after surgery. Adjuvant therapy is one that is used to increase the efficacy of primary treatment. In this case, radiation therapy or chemotherapy is used as an adjuvant treatment for killing all cancer cells that remain in the body after surgery. Alternatively, these therapies can be used as a separate treatment for patients who are not good candidates for surgery.

Pancreaticodenectomy is an invasive procedure that puts considerable physical stress on the patient. From thisThe water was historically high, with up to 20% of patients died after surgery. Due to the improvement of surgical practices and postoperative patient care, this number is now up to 5%.

Approximately 65% ​​of patients after surgery are complications. Possible complications of surgery include pneumonia, abdominal infections and abscess development. Some people can develop diabetes, pancreatic dysfunction or gastrointestinal dysfunction. These conditions are not immediate possible consequences of surgery, but may develop in the coming months and years.