Occupational therapy in palliative care: is it under-utilised in Western Australia?
This study provides an understanding of the barriers that have limited occupational therapists' involvement in providing palliative care in Western Australia.
Preoperative biopsy and intraoperative frozen section analysis have limitations in the management of patients undergoing ampullectomy. High-grade dysplasia on preoperative biopsy is not an absolute contraindication to ampullectomy. Morbidity of ampullectomy is significant, but longterm outcomes of this procedure, in patients without invasive malignancy, are acceptable.