A CASE OF CANCER OF THE AMPULLA OF VATER WITH HIGH SERUM LEVEL OF PANCREATIC ENZYMES

Kenji NAGAI; Tetsuo HAYAKAWA; Aiji NODA; Takaharu KONDO; Ribun MIZUNO; Hirotsugu HAMANO; Toshiyuki MURASE; Tokimune SHIBATA; Yuji NIMURA

doi:10.11280/gee1973b.26.1982

Kenji NAGAI, Tetsuo HAYAKAWA, Aiji NODA, Takaharu KONDO, Ribun MIZUNO, Hirotsugu HAMANO, Toshiyuki MURASE, Tokimune SHIBATA, Yuji NIMURA

Author information

Kenji NAGAI
2nd Department of Internal Medicine, Nagoya University School of Medicine.
Tetsuo HAYAKAWA
1st Department of Surgery, Nagoya University School of Medicine.
Aiji NODA
1st Department of Surgery, Nagoya University School of Medicine.
Takaharu KONDO
1st Department of Surgery, Nagoya University School of Medicine.
Ribun MIZUNO
1st Department of Surgery, Nagoya University School of Medicine.
Hirotsugu HAMANO
1st Department of Surgery, Nagoya University School of Medicine.
Toshiyuki MURASE
1st Department of Surgery, Nagoya University School of Medicine.
Tokimune SHIBATA
1st Department of Surgery, Nagoya University School of Medicine.
Yuji NIMURA
1st Department of Surgery, Nagoya University School of Medicine.

JOURNAL FREE ACCESS

1984 Volume 26 Issue 11 Pages 1982-1986_1

DOI https://doi.org/10.11280/gee1973b.26.1982

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Abstract

A 54 year-old man was admitted to our hospital for evaluation of high serum concen trations of amylase and elastase 1. Endoscopic and histologic examination revealed cancer of the ampulla of Vater. Five patients were found with the same clue from 1976 to 1982 in Japan. All of them showed good prognosis. Radical pancreatoduodenal resection for cancer of the ampulla of Vater was done on 17 patients at our hospital. Eight of them revealed high level of serum amylase and six of seven patients high level of serum elastase 1. Serum pancreatic enzymes, especially elastase 1 and amylase, are important for the diagnosis of cancer of the ampulla of Vater.

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