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2.1
Pancreatectomy
Pancreatectomies

Images

WIKIDATA, CC BY-SA 4.0
WIKIDATA, CC BY-SA 4.0

Presentation

When present, the intrapancreatic accessory spleen is usually found in the tail of the pancreas in about 1.7% of adult individuals. [ncbi.nlm.nih.gov]

Operative video is presented. Session Number: Poster – Poster Presentations Program Number: P356 View Poster Post Views: 700 Related « Return to SAGES 2012 abstract archive [sages.org]

Entire Body System

  • Weight Loss

    Gastrointestinal symptoms and unintended weight loss (P < 0.01) were more common with low doses of pancreatic enzymes. [ncbi.nlm.nih.gov]

    Potential Complications of Surgery In addition to the typical risks and complications associated with abdominal surgery, some specific to a total pancreatectomy include: Weight loss - A 10-15 pound weight loss is common after surgery. [medstargeorgetown.org]

    Symptoms Nausea, vomiting Jaundice Abdominal pain Weight loss, weakness C. Laparoscopic Pancreatectomy. The surgeon will make about 4-5 small incisions in your abdomen. [laparoscopicexperts.com]

    Although the patient’s pain may wax and wane, in a large segment of patients with chronic, relentless pain, overall QOL will continue to deteriorate due to chronic pain, narcotic addiction, weight loss, diarrhea, and general disability. [endocrinenews.endocrine.org]

  • Hypothermia

    The vascular resection was performed combining a complete Cattell-Braasch maneuver with local bowel hypothermia in an attempt to avoid graft interposition by facilitating an end-to-end anastomosis and to reduce the warm ischemia time. [ncbi.nlm.nih.gov]

Gastrointestinal

  • Diarrhea

    Nausea, vomiting, diarrhea and/or constipation. Inability to eat. Care of Incision You will be told how to care for your incision before you leave the hospital. Often, it is recommended that you: Wear loose clothing. [oncolink.org]

    Diarrhea or constipation that is not controlled. Anything that is of concern to you, as only communication with your health care team can ensure your best outcome. [medstargeorgetown.org]

    Although the patient’s pain may wax and wane, in a large segment of patients with chronic, relentless pain, overall QOL will continue to deteriorate due to chronic pain, narcotic addiction, weight loss, diarrhea, and general disability. [endocrinenews.endocrine.org]

    Other symptoms include: Clammy skin Diarrhea Fever Mild jaundice (yellowing of skin and eyes) Nausea Swollen abdomen Vomiting There are several possible causes of acute pancreatitis, but the vast majority of cases are related to gallstones or excessive [uchospitals.edu]

Workup

From workup investigations, the patient was diagnosed with PDAC or a recurrent ITPN of the remnant pancreas. A total remnant pancreatectomy was then performed. [ncbi.nlm.nih.gov]

Preoperative Workup 1.CT scan of the abdomen, pancreas protocol 2.Endoscopic ultrasonography (EUS) and Fine needle aspiration (FNA) cytology 3.Tumor markers (CA19-9 and CEA) 4.General labs including complete blood count, serum electrolytes, creatinine [csurgeries.com]

When these stipulations are not met, a high quality preoperative workup including MRI with MRCP and endoscopic ultrasound can often localize abnormal areas within a diseased pancreas, allowing for one of the subtotal pancreatectomy procedures to be performed [pancreas.imedpub.com]

Other Pathologies

  • Multilocular Cyst

    Computed tomography showed a multilocular cyst, 40 mm in size, and a unilocular cyst, 20 mm in size, in the tail of the pancreas and gallstones. [ncbi.nlm.nih.gov]

Treatment

Surgery is still the preferred treatment option for resectable pancreatic cancer as it offers the only realistic chance for cure. [ncbi.nlm.nih.gov]

Prognosis

Yet in a diseasethat diffuses so rapidly to deep lymph nodes, it has not been proved whether early diagnosis can improve prognosis. [books.google.it]

Whipple's procedure has been increasingly used for pain relief as its prognosis improved. [diapedia.org]

CONCLUSION: The prognosis of HGD-IPMN following resection is good; however, HGD may be a marker for developing IPMN recurrence or adenocarcinoma. [ncbi.nlm.nih.gov]

SPT patients admitted in our institution were reviewed by describing demographic data, clinico-pathologic and radiological features, therapeutic management and prognosis records. Results. [clujulmedical.umfcluj.ro]

Etiology

CONCLUSION: Total pancreatectomy with islet autotransplantation is a safe, effective treatment option for CF patients with CP, giving similar outcomes for those with other CP etiologies. [ncbi.nlm.nih.gov]

With the availability of data from recent studies in India and the Asian subcontinent, Biliary disease is emerging as the commonest etiological agent. [books.google.ro]

ETIOLOGY OF CHRONIC PANCREATITIS A large number of predisposing factors and conditions can lead to CP. [pancreas.imedpub.com]

[…] acute pancreatitis, accounting for roughly 36% of cases. 26 Therefore, abstinence from alcohol is often a first step in the management of pancreatitis, as its consumption will worsen the condition by a variety of mechanisms, regardless of the initial etiology [nature.com]

Epidemiology

Author information 1 Division of Endocrinology, Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA. 2 Division of Biostatistics and Epidemiology, Department of Pediatrics, Cincinnati Children's Hospital Medical [ncbi.nlm.nih.gov]

London, London, UK 2: Statistical Laboratory, Centre for Mathematical Sciences, Cambridge University, Cambridge, UK 3: Dr Foster Unit at Imperial College, Department of Primary Care and Public Health, Imperial College London, London, UK 4: Surgical Epidemiology [ingentaconnect.com]

Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA. 2000; 283: 2008–2012 [pmid:10789670] View Article PubMed/NCBI Google Scholar [journals.plos.org]

Alcohol and smoking as risk factors in an epidemiology study of patients with chronic pancreatitis. [pancreas.imedpub.com]

Alcohol and smoking as risk factors in an epidemiology study of patients with chronic pancreatitis. Clin Gastroenterol Hepatol 2011; 9 : 266–273. 26. Frossard J, Steer ML, Pastor CM. Acute pancreatitis. Lancet 2008; 371 : 143–152. 27. [nature.com]

Pathophysiology

The enormous advances in diagnostic imaging techniques and in interven tional, radiological and biliary approaches, the pathophysiological problems and their management manifest often as complications in the post-operative period, new techniques and the [books.google.ro]

Pathophysiology of pain in chronic pancreatitis: clinical implications from a surgical perspective. Int Surg. 2000; 85:291-296. Bockman DE, Buchler M, Malfertheiner P, Beger HG. Analysis of nerves in chronic pancreatitis. [siicsalud.com]

Pathophysiology of chronic pancreatitis. World journal of gastroenterology : WJG 2013; 19: 7231-40. [PMC: 3831204] Vonlaufen A, Wilson JS, Pirola RC, Apte MV. Role of alcohol metabolism in chronic pancreatitis. [pancreas.imedpub.com]

Prevention

Following an increase in the use of the GIA stapler for treating a pancreatic stump, more techniques to prevent postoperative pancreatic juice leakage have been required. [ncbi.nlm.nih.gov]

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