Presentation
This article presents a review of two minimally invasive techniques for distal pancreatectomy and pancreaticoduodenectomy, focusing on metrics of technique, safety, morbidity, and oncologic outcomes and potential benefits. [ncbi.nlm.nih.gov]
The findings were presented at the Pancreas Club and Society for Surgery of the Alimentary Tract annual meetings in San Diego. [sciencedaily.com]
Respiratoric
- Persistent Cough
[…] nausea or vomiting Chills Persistent cough or shortness of breath Purulent drainage (pus) from any incision Redness surrounding any of your incisions that is worsening or getting bigger You are unable to eat or drink liquids Related Links and Resources [utsurgery.com]
Gastrointestinal
- Rectal Bleeding
Contact your surgeon if you notice severe abdominal pain, fevers, chills, drainage or rectal bleeding. [utsurgery.com]
Musculoskeletal
- Arthritis
Drugs such as aspirin, blood thinners, anti-inflammatory medications (arthritis medications) and Vitamin E will need to be stopped temporarily for several days to a week prior to surgery. Diet medication or St. [utsurgery.com]
- Painful Muscle Cramps
These may include: Stomach pain and tenderness Weight loss Feeling full Having no appetite Steatorrhea, which is diarrhea with oil in the stool (fatty stools) Bone pain Muscle cramps Post-Surgical EPI Can Be Treated If you do develop EPI, it can be treated [everydayhealth.com]
- Bone Pain
These may include: Stomach pain and tenderness Weight loss Feeling full Having no appetite Steatorrhea, which is diarrhea with oil in the stool (fatty stools) Bone pain Muscle cramps Post-Surgical EPI Can Be Treated If you do develop EPI, it can be treated [everydayhealth.com]
Neurologic
- Meningism
These vaccines include pneumococcal (pneumonia), meningococcal (bacterial meningitis) and Haemophilus influenza. [pancreascare.com]
- Insomnia
CONCLUSION: The patients with preoperative insomnia, who were treated with TJ-54, did not have a higher incidence of postoperative delirium, compared to those without preoperative insomnia. [ncbi.nlm.nih.gov]
Treatment
Starting and monitoring of enzyme replacement treatment is more based on clinical symptoms, than on objective markers. [ncbi.nlm.nih.gov]
Search for a treatment or service [northwell.edu]
The epicenter draws surgeons from across the country to learn about these advanced treatments from our experts. [methodisthealthsystem.org]
Prognosis
Only available at Guthrie, the Whipple procedure is a complex surgery that may extend your prognosis or be a possible cure. At Guthrie, we use state-of-the-art diagnostic tools to locate and stage the disease. [guthrie.org]
Follow-up is particularly important for PDAC because recurrence is often asymptomatic, but its detection allows for therapeutic interventions and potentially improved prognosis. This should be implemented in future guidelines. [ncbi.nlm.nih.gov]
Malignant tumors in this organ, however, bring with them such a serious prognosis that they are one of the leading causes of cancer death. Pancreatic cancer can sometimes be treated through surgery. [ariahealth.org]
Your Prognosis and Our Outcomes UPMC Hillman Cancer Center is the only cancer center in the region recognized by the National Cancer Institute as a Comprehensive Cancer Center. Your prognosis will depend on many factors: Your diagnosis. [upmc.com]
Pancreatic cancer often has a poor prognosis, with surgery the only chance of cure in cases when there is no detectable cancer spread. [lpbsurgery.com]
Etiology
Preventive measures DGE is multifactorial Etiology: - Decrease in plasma motilin following duodenal resection - Loss of vagal innervation to pylorus and antrum - Relative devascularisation of antrum 24. [slideshare.net]
S3-Consensus guidelines on definition, etiology, diagnosis and medical, endoscopic and surgical management of chronic pancreatitis German Society of Digestive and Metabolic Diseases (DGVS). Z Für Gastroenterol. 2012;50:1176–224. [trialsjournal.biomedcentral.com]
Epidemiology
Pancreatic diseases are a crucial issue not only because of their epidemiological significance, and their anatomical and metabolic complexity, but also because of the different treatment options available and their implications for surgery. [books.google.ro]
Augusto Gomes, Cleber Soares Junior, Salomone Di Saverio, Massimo Sartelli, Poliana Graciele de Souza Silva, Agnes Silva Orlandi, Thais Lacerda Heringer, Felipe Couto Gomes, and Fausto Catena Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):34-40 PDF Epidemiology [jhbps.org]
Further, operative risk and risk-adapted outcomes will be calculated using multivariate modeling, conducted at the Institute for Medical Informatics, Biometry and Epidemiology, Ludwig-Maximilians-University Munich, Germany. [trialsjournal.biomedcentral.com]
American Gastroenterological Association medical position statement: epidemiology, diagnosis, and treatment of pancreatic ductal adenocarcinoma. Gastroenterology 1999; 117 :1463–84. [ PubMed ] 17. [ncbi.nlm.nih.gov]
Bramhall SR et al. (1995) Treatment and survival in 13,560 patients with pancreatic cancer, and incidence of the disease, in the West Midlands: an epidemiological study. [nature.com]
Pathophysiology
In this review we summarized the pathophysiology, diagnosis, risk factors and treatment options of exocrine insufficiency and focus mainly on patients with pancreaticoduodenectomy (classical Whipple), pylorus-preserving pancreaticoduodenectomy (ppWhipple [ncbi.nlm.nih.gov]
The Fellowship is intended for physicians who have completed a general surgery residency and have a specialty interest in all aspects of foregut disease including pathophysiology, flexible endoscopy and laparoscopic surgery. [oregon.providence.org]
The relatively low prevalence of complications following surgery for chronic pancreatitis is related to the pathophysiology of the condition. [gut.bmj.com]
Prevention
Drains may aid in early detection of leaks, but do not prevent POPF. [ncbi.nlm.nih.gov]
Prevention and management of complications of pancreatic surgery Dr. Zeeshan Rahman 2. [slideshare.net]