Ten cases of villous adenoma of the duodenum among 8,754 endoscopic examinations of
the upper gastrointestinal tract were found over a nine year period. The varied clinical
manifestations included gastrointestinal bleeding in five cases, partial duodenal
obstruction in four, and jaundice with common bile duct obstruction in two. In only
two cases did radiological examination indicate the diagnosis. Endoscopic biopsy established
the diagnosis of villous adenoma of the duodenum in all ten cases preoperatively but
was negative for carcinoma in one. Due to improved diagnostic techniques villous adenoma
of the duodenum is being diagnosed at an early stage, and with appropriate surgical
treatment the survival rate for this group of patients should improve.
Fiberoptic duodenoscopy - Duodenal villous adenoma - Biopsy and diagnosis
