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September 15, 1956


JAMA. 1956;162(3):196-197. doi:10.1001/jama.1956.72970200005008c

The value of radical pancreatoduodenal resection for malignant lesions causing obstructive jaundice has been a subject of some debate for many years. Recently there has been a revival of interest in this procedure following encouraging reports that indicate its use may result in a five-year survival rate of 38% for carcinoma of the ampulla of Vater and a five-year survival rate of 15% for carcinoma of the pancreas.1 Even in the hands of those enthusiastic about the procedure, the recurrence of intra-abdominal symptoms following operation, particularly jaundice, has been taken as evidence of recurrence of disease. Whereas this will be the usual cause, such patients may develop jaundice on any etiological basis. The present case report is that of a patient who developed jaundice due to benign stricture of the common duct one year following pancreatoduodenal resection of a carcinoma of the ampulla of Vater and who is now

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