Aved searches > search by citation volume: issue: page: article tools get pdf (333k) save to my profile e-mail link to this article export citation for this article get citation alerts request permissions abstract references cited by get pdf (333k) keywords: duodenal cancer; veterans hospitals; pancreatic resection; periampullary abstract background because fewer than k cases of primary adenocarcinoma of the duodenum have been reported, earlier series are limited by local referral patterns and the long periods of time needed for retrospective reviews. Methods this study reports the outcomes of preiampullary duodenal adenocarcinoma treatments in all hospitals of the department of veterans affairs from 1987 through 1991, using computer and tumor registry records. viagra online no rx Patients were grouped by their most aggressive treatment (resection > operative bypass > percutaneous biliary intubation) and survival calculated from the date of this procedure. buy viagra without prescription Results of 2185 patients with periampullary cancers (1753 pancreatic, 432 other periampullary), 85 were duodenal and thus comprised only 4% of periampullary tumors. Thirty‐four duodenal cancers were resected, 44 bypassed, and 7 had biliary intubation, with 30‐day mortality rates of 6%, 18%, and 0%, respectively. Mean survival exceeded 1 year in all groups, and resection resulted in a significant increase in mean survival (784 vs. best generic viagra online 438 days for nonresection, p = 0. viagra prescription drug uk 01). viagra 20 latek The projected 5‐year survival rate after resection was 23%. where to buy viagra or viagra Mean survival after resection of 9 stage i‐ii cancers was 668 days, but was similar after 5 resections with nodal or other metastases. best online viagra Similarly, survival did not correlate with cancer stage in 13 palliated patients. viagra online no rx Conclusions this large study of patients with duodenal cancer provides a unique perspective of disease prevalence and response to surgical treatment. viagra on line from canada Prolonged survival is common with any treatment, but the longest survivals were after resection. Cancer 1996;77:251‐4. Get pdf (333k) more content like this find more content: like this article find more content written by: robert b. Sexe terence p. cheap viagra Wade katherine s. Virgo frank e. Johnson all authors about us help contact us agents advertisers media privacy terms & conditions site map copyright © 1999–2012 john. usa generic viagra women using viagra men