[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.92.62. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Views 54
Citations 0
Invited Critique
June 2012

The BalanceComment on “Fate of the Pancreatic Remnant After Resection for an Intraductal Papillary Mucinous Neoplasm”

Author Affiliations

Author Affiliations: Department of Surgery, The Johns Hopkins Medicine, Suburban Hospital, Bethesda, Maryland.

Arch Surg. 2012;147(6):534-535. doi:10.1001/archsurg.2012.452

The more data accumulate on intraductal papillary mucinous neoplasms (IPMNs), the more we see that its treatment is a balancing act. Are all IPMNs premalignant? Should all diseases be resected? Can we leave positive margins? How often should we follow-up with patients postoperatively?

Moriya and Traverso1 show that this “field defect” in pancreatic genetics should be handled by experts. A cohort of 203 patients underwent partial pancreatic resection by a surgeon who tailored operations using current theory and who leads a very effective multidisciplinary group. Postoperatively, patients were cautiously observed for 40 months. Only from a model like this can we learn about IPMNs.

First Page Preview View Large
First page PDF preview
First page PDF preview
×