{"id":"https://openalex.org/W4414822191","doi":"https://doi.org/10.33448/rsd-v14i10.49622","title":"Tumor da Papila de Vater: Aspectos diagn\u00f3sticos, terap\u00eauticos e desafios no manejo cl\u00ednico-cir\u00fargico","display_name":"Tumor da Papila de Vater: Aspectos diagn\u00f3sticos, terap\u00eauticos e desafios no manejo cl\u00ednico-cir\u00fargico","publication_year":2025,"publication_date":"2025-10-03","ids":{"openalex":"https://openalex.org/W4414822191","doi":"https://doi.org/10.33448/rsd-v14i10.49622"},"language":"pt","primary_location":{"id":"doi:10.33448/rsd-v14i10.49622","doi":"https://doi.org/10.33448/rsd-v14i10.49622","is_oa":true,"landing_page_url":"https://doi.org/10.33448/rsd-v14i10.49622","pdf_url":"https://rsdjournal.org/rsd/article/download/49622/38824","source":{"id":"https://openalex.org/S2739064124","display_name":"Research Society and Development","issn_l":"2525-3409","issn":["2525-3409"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310312449","host_organization_name":"Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias","host_organization_lineage":["https://openalex.org/P4310312449"],"host_organization_lineage_names":["Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Research, Society and Development","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://rsdjournal.org/rsd/article/download/49622/38824","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":null,"display_name":"Maria de Lourdes Rodrigues Ribeiro Silva","orcid":"https://orcid.org/0009-0006-6481-2456","observed_orcids":["https://orcid.org/0009-0006-6481-2456"]},"institutions":[{"id":"https://openalex.org/I4210109932","display_name":"Universidade Castelo Branco","ror":"https://ror.org/01pn2rg09","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210109932"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Maria de Lourdes Rodrigues Ribeiro Silva","raw_affiliation_strings":["Universidade Castelo Branco"],"raw_orcid":"https://orcid.org/0009-0006-6481-2456","affiliations":[{"raw_affiliation_string":"Universidade Castelo Branco","institution_ids":["https://openalex.org/I4210109932"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136652829","display_name":"Wallace Peyroton do Couto","orcid":"https://orcid.org/0009-0003-2699-3039","observed_orcids":["https://orcid.org/0009-0003-2699-3039"]},"institutions":[{"id":"https://openalex.org/I4210109932","display_name":"Universidade Castelo Branco","ror":"https://ror.org/01pn2rg09","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210109932"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Wallace Peyroton do Couto","raw_affiliation_strings":["Universidade Castelo Branco"],"raw_orcid":"https://orcid.org/0009-0003-2699-3039","affiliations":[{"raw_affiliation_string":"Universidade Castelo Branco","institution_ids":["https://openalex.org/I4210109932"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5138038093","display_name":"Vaneza Corr\u00eaa de Souza","orcid":"https://orcid.org/0009-0000-6216-3479","observed_orcids":["https://orcid.org/0009-0000-6216-3479"]},"institutions":[{"id":"https://openalex.org/I4210109932","display_name":"Universidade Castelo Branco","ror":"https://ror.org/01pn2rg09","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210109932"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Vaneza Corr\u00eaa de Souza","raw_affiliation_strings":["Universidade Castelo Branco"],"raw_orcid":"https://orcid.org/0009-0000-6216-3479","affiliations":[{"raw_affiliation_string":"Universidade Castelo Branco","institution_ids":["https://openalex.org/I4210109932"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119846075","display_name":"Paula Cristina Cardoso Eccard","orcid":"https://orcid.org/0009-0000-5250-6087","observed_orcids":["https://orcid.org/0009-0000-5250-6087"]},"institutions":[{"id":"https://openalex.org/I4210109932","display_name":"Universidade Castelo Branco","ror":"https://ror.org/01pn2rg09","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210109932"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Paula Cristina Cardoso Eccard","raw_affiliation_strings":["Universidade Castelo Branco"],"raw_orcid":"https://orcid.org/0009-0000-5250-6087","affiliations":[{"raw_affiliation_string":"Universidade Castelo Branco","institution_ids":["https://openalex.org/I4210109932"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119846076","display_name":"Ana Gentilia Batista de Bortolli","orcid":"https://orcid.org/0009-0005-8557-1930","observed_orcids":["https://orcid.org/0009-0005-8557-1930"]},"institutions":[{"id":"https://openalex.org/I165972669","display_name":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","ror":"https://ror.org/02gp35s66","country_code":"BR","type":"education","lineage":["https://openalex.org/I165972669"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Ana Gentilia Batista de Bortolli","raw_affiliation_strings":["Universidade Federal da Integra\u00e7\u00e3o Latino-Americana"],"raw_orcid":"https://orcid.org/0009-0005-8557-1930","affiliations":[{"raw_affiliation_string":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","institution_ids":["https://openalex.org/I165972669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017840190","display_name":"Felipe Magalh\u00e3es Castro","orcid":"https://orcid.org/0009-0001-3650-7554","observed_orcids":["https://orcid.org/0009-0001-3650-7554"]},"institutions":[{"id":"https://openalex.org/I165972669","display_name":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","ror":"https://ror.org/02gp35s66","country_code":"BR","type":"education","lineage":["https://openalex.org/I165972669"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Felipe Magalh\u00e3es Castro","raw_affiliation_strings":["Universidade Federal da Integra\u00e7\u00e3o Latino-Americana"],"raw_orcid":"https://orcid.org/0009-0001-3650-7554","affiliations":[{"raw_affiliation_string":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","institution_ids":["https://openalex.org/I165972669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5050531502","display_name":"Norton Martins de Barros","orcid":"https://orcid.org/0009-0008-0176-7664","observed_orcids":["https://orcid.org/0009-0008-0176-7664"]},"institutions":[{"id":"https://openalex.org/I165972669","display_name":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","ror":"https://ror.org/02gp35s66","country_code":"BR","type":"education","lineage":["https://openalex.org/I165972669"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Norton Martins de Barros","raw_affiliation_strings":["Universidade Federal da Integra\u00e7\u00e3o Latino-Americana"],"raw_orcid":"https://orcid.org/0009-0008-0176-7664","affiliations":[{"raw_affiliation_string":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","institution_ids":["https://openalex.org/I165972669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119846077","display_name":"Arthur Santos Marquezini","orcid":"https://orcid.org/0009-0000-7815-784X","observed_orcids":["https://orcid.org/0009-0000-7815-784X"]},"institutions":[{"id":"https://openalex.org/I165972669","display_name":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","ror":"https://ror.org/02gp35s66","country_code":"BR","type":"education","lineage":["https://openalex.org/I165972669"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Arthur Santos Marquezini","raw_affiliation_strings":["Universidade Federal da Integra\u00e7\u00e3o Latino-Americana"],"raw_orcid":"https://orcid.org/0009-0000-7815-784X","affiliations":[{"raw_affiliation_string":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","institution_ids":["https://openalex.org/I165972669"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119846078","display_name":"Sandra Regina de S\u00e1","orcid":"https://orcid.org/0009-0009-6049-6646","observed_orcids":["https://orcid.org/0009-0009-6049-6646"]},"institutions":[{"id":"https://openalex.org/I165972669","display_name":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","ror":"https://ror.org/02gp35s66","country_code":"BR","type":"education","lineage":["https://openalex.org/I165972669"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Sandra Regina de S\u00e1","raw_affiliation_strings":["Universidade Federal da Integra\u00e7\u00e3o Latino-Americana"],"raw_orcid":"https://orcid.org/0009-0009-6049-6646","affiliations":[{"raw_affiliation_string":"Universidade Federal da Integra\u00e7\u00e3o Latino-Americana","institution_ids":["https://openalex.org/I165972669"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5069091052","display_name":"Tatiana Regina Amaral","orcid":"https://orcid.org/0009-0003-4917-7085","observed_orcids":["https://orcid.org/0009-0003-4917-7085"]},"institutions":[{"id":"https://openalex.org/I4210109932","display_name":"Universidade Castelo Branco","ror":"https://ror.org/01pn2rg09","country_code":"BR","type":"education","lineage":["https://openalex.org/I4210109932"]}],"countries":["BR"],"is_corresponding":false,"raw_author_name":"Tatiana Regina Amaral","raw_affiliation_strings":["Universidade Castelo Branco"],"raw_orcid":"https://orcid.org/0009-0003-4917-7085","affiliations":[{"raw_affiliation_string":"Universidade Castelo Branco","institution_ids":["https://openalex.org/I4210109932"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":"10","first_page":"e12141049622","last_page":"e12141049622"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11364","display_name":"Cholangiocarcinoma and Gallbladder Cancer Studies","score":0.8794000148773193,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11364","display_name":"Cholangiocarcinoma and Gallbladder Cancer Studies","score":0.8794000148773193,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.09529999643564224,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10231","display_name":"Pancreatic and Hepatic Oncology Research","score":0.01209999993443489,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ampullary-tumor","display_name":"ampullary tumor","score":0.8259999752044678},{"id":"https://openalex.org/keywords/ampulloma","display_name":"ampulloma","score":0.7390000224113464},{"id":"https://openalex.org/keywords/vater-s-papilla","display_name":"papilla of Vater","score":0.7760000228881836},{"id":"https://openalex.org/keywords/biliary-obstruction","display_name":"biliary obstruction","score":0.7699999809265137},{"id":"https://openalex.org/keywords/pancreaticoduodenectomy","display_name":"pancreaticoduodenectomy","score":0.9210000038146973},{"id":"https://openalex.org/keywords/endoscopic-ampullectomy","display_name":"endoscopic ampullectomy","score":0.875},{"id":"https://openalex.org/keywords/endoscopic-ultrasound","display_name":"endoscopic ultrasound","score":0.7699999809265137},{"id":"https://openalex.org/keywords/endoscopic-retrograde-cholangiopancreatography","display_name":"endoscopic retrograde cholangiopancreatography","score":0.8149999976158142},{"id":"https://openalex.org/keywords/tumor-recurrence","display_name":"tumor recurrence","score":0.7559999823570251},{"id":"https://openalex.org/keywords/surgical-complications","display_name":"surgical complications","score":0.7609999775886536},{"id":"https://openalex.org/keywords/adjuvant-therapy","display_name":"adjuvant therapy","score":0.925000011920929},{"id":"https://openalex.org/keywords/prognosis","display_name":"prognosis","score":0.39899998903274536}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6323000192642212},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.4442000091075897},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.36649999022483826},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.2840999960899353},{"id":"https://openalex.org/C15708023","wikidata":"https://www.wikidata.org/wiki/Q80083","display_name":"Humanities","level":1,"score":0.24789999425411224},{"id":"https://openalex.org/C509974204","wikidata":"https://www.wikidata.org/wiki/Q180507","display_name":"Radiation therapy","level":2,"score":0.23190000653266907},{"id":"https://openalex.org/C2779974597","wikidata":"https://www.wikidata.org/wiki/Q28448986","display_name":"Clinical Practice","level":2,"score":0.2282000035047531},{"id":"https://openalex.org/C2992581678","wikidata":"https://www.wikidata.org/wiki/Q11829360","display_name":"Digestive tract","level":2,"score":0.20340000092983246},{"id":"https://openalex.org/C2986104408","wikidata":"https://www.wikidata.org/wiki/Q179661","display_name":"Clinical treatment","level":2,"score":0.19189999997615814},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.1860000044107437}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.33448/rsd-v14i10.49622","doi":"https://doi.org/10.33448/rsd-v14i10.49622","is_oa":true,"landing_page_url":"https://doi.org/10.33448/rsd-v14i10.49622","pdf_url":"https://rsdjournal.org/rsd/article/download/49622/38824","source":{"id":"https://openalex.org/S2739064124","display_name":"Research Society and Development","issn_l":"2525-3409","issn":["2525-3409"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310312449","host_organization_name":"Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias","host_organization_lineage":["https://openalex.org/P4310312449"],"host_organization_lineage_names":["Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Research, Society and Development","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.33448/rsd-v14i10.49622","doi":"https://doi.org/10.33448/rsd-v14i10.49622","is_oa":true,"landing_page_url":"https://doi.org/10.33448/rsd-v14i10.49622","pdf_url":"https://rsdjournal.org/rsd/article/download/49622/38824","source":{"id":"https://openalex.org/S2739064124","display_name":"Research Society and Development","issn_l":"2525-3409","issn":["2525-3409"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4310312449","host_organization_name":"Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias","host_organization_lineage":["https://openalex.org/P4310312449"],"host_organization_lineage_names":["Grupo de Pesquisa Metodologias em Ensino e Aprendizagem em Ci\u00eancias"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Research, Society and Development","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414822191.pdf","grobid_xml":"https://content.openalex.org/works/W4414822191.grobid-xml"},"referenced_works_count":6,"referenced_works":["https://openalex.org/W1976410857","https://openalex.org/W1985213644","https://openalex.org/W1995797355","https://openalex.org/W2095777948","https://openalex.org/W2125165403","https://openalex.org/W2129204015"],"related_works":["https://openalex.org/W2410733156","https://openalex.org/W1986497351","https://openalex.org/W4385833701","https://openalex.org/W2562781630","https://openalex.org/W28113250","https://openalex.org/W182838445","https://openalex.org/W4388967282","https://openalex.org/W4380992329","https://openalex.org/W2396059345","https://openalex.org/W1962996699"],"abstract_inverted_index":{"Os":[0],"tumores":[1,64,171,201,208],"da":[2,65,77,93,209],"papila":[3,66,210],"de":[4,8,18,25,67,83,109,134,136,162,184,200,211,238],"Vater,":[5,68],"tamb\u00e9m":[6],"chamados":[7],"ampulomas,":[9],"representam":[10,187],"uma":[11,70,90,132],"neoplasia":[12],"rara":[13],"do":[14],"trato":[15],"digestivo,":[16],"mas":[17,233],"grande":[19],"import\u00e2ncia":[20],"cl\u00ednica":[21],"devido":[22],"ao":[23],"potencial":[24],"obstru\u00e7\u00e3o":[26],"biliar":[27],"e":[28,57,80,99,121,127,138,146,180,219,227],"evolu\u00e7\u00e3o":[29],"maligna.":[30],"O":[31,45,129,152,189,205],"diagn\u00f3stico":[32,130,217],"precoce":[33],"ainda":[34,186,234],"\u00e9":[35,158],"um":[36],"desafio,":[37],"visto":[38],"que":[39,73,123],"os":[40,52,58],"sintomas":[41],"iniciais":[42,172],"s\u00e3o":[43,235],"inespec\u00edficos.":[44],"presente":[46],"artigo":[47],"tem":[48],"como":[49],"objetivo":[50],"revisar":[51],"principais":[53],"aspectos":[54],"diagn\u00f3sticos,":[55],"terap\u00eauticos":[56],"desafios":[59],"no":[60,75,81,198],"manejo":[61,206],"cl\u00ednico-cir\u00fargico":[62],"dos":[63,207],"oferecendo":[69],"vis\u00e3o":[71],"atualizada":[72],"auxilie":[74],"aprimoramento":[76],"conduta":[78],"m\u00e9dica":[79],"desenvolvimento":[82],"estrat\u00e9gias":[84],"terap\u00eauticas":[85],"mais":[86],"eficazes.":[87],"Foi":[88],"realizada":[89],"busca":[91],"narrativa":[92],"literatura":[94],"nas":[95],"bases":[96],"PubMed,":[97],"Scielo":[98],"Embase,":[100],"considerando":[101],"artigos":[102],"publicados":[103],"nos":[104],"\u00faltimos":[105],"10":[106],"anos,":[107],"al\u00e9m":[108],"trabalhos":[110],"cl\u00e1ssicos":[111],"sobre":[112],"o":[113],"tema.":[114],"Foram":[115],"inclu\u00eddas":[116],"publica\u00e7\u00f5es":[117],"em":[118,170,195,223],"ingl\u00eas,":[119],"espanhol":[120],"portugu\u00eas":[122],"abordaram":[124],"diagn\u00f3stico,":[125],"tratamento":[126,153,220],"progn\u00f3stico.":[128],"envolve":[131],"combina\u00e7\u00e3o":[133],"exames":[135],"imagem":[137],"m\u00e9todos":[139],"endosc\u00f3picos,":[140],"com":[141],"destaque":[142],"para":[143,155,241],"a":[144,147,159,165,181],"ecoendoscopia":[145],"colangiopancreatografia":[148],"retr\u00f3grada":[149],"endosc\u00f3pica":[150,167],"(CPRE).":[151],"padr\u00e3o":[154],"casos":[156],"ressec\u00e1veis":[157],"duodenopancreatectomia":[160],"(procedimento":[161],"Whipple),":[163],"embora":[164],"ampulectomia":[166],"seja":[168],"op\u00e7\u00e3o":[169],"selecionados.":[173],"A":[174],"recidiva":[175],"tumoral,":[176],"as":[177],"complica\u00e7\u00f5es":[178],"cir\u00fargicas":[179,226],"sele\u00e7\u00e3o":[182],"adequada":[183],"pacientes":[185],"desafios.":[188],"papel":[190],"das":[191,243],"terapias":[192,228],"adjuvantes":[193],"permanece":[194],"investiga\u00e7\u00e3o,":[196],"especialmente":[197],"contexto":[199],"avan\u00e7ados":[202],"ou":[203],"irressec\u00e1veis.":[204],"Vater":[212],"exige":[213],"abordagem":[214],"multidisciplinar,":[215],"aliando":[216],"preciso":[218],"individualizado.":[221],"Avan\u00e7os":[222],"t\u00e9cnicas":[224],"endosc\u00f3picas,":[225],"complementares":[229],"oferecem":[230],"perspectivas":[231],"promissoras,":[232],"necess\u00e1rios":[236],"estudos":[237],"maior":[239],"robustez":[240],"padroniza\u00e7\u00e3o":[242],"condutas.":[244]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2025-10-10T00:00:00"}
