Gastro-pancreaticojejunostomy for treatment of pancreatic ductal obstruction in a post-Whipple procedure patient
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چکیده
منابع مشابه
Whipple Procedure: Pancreaticogastrostomy versus Pancreaticojejunostomy: a Literature Review.
Pancreatic cancer is one of the leading causes of oncologic morbidity and mortality worldwide. The definitive surgical management for pancreatic cancer includes pancreaticoduodenectomy with either anastomosis to, or implantation of remnant pancreas to the stomach (pancreaticogastrostomy) or the jejunum (pancreaticojejunostomy). Operative morbidity and mortality following pancreaticoduodenectomy...
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Pancreatic sarcoidosis is a rare variant of systemic sarcoidosis, with cases described in literature as recently as January 2010. We present here a case of pancreatic involvement with non-caseating granulomas discovered on laparotomy in a patient with a preoperative diagnosis of pancreatic carcinoma. Computer tomography scan without contrast revealed a well-marginated smooth-shaped tumor in the...
متن کاملSuccessful Treatment of Recurrent Cholangitis by Constructing a Hepaticojejunostomy with Long Roux-en-Y Limb in a Long-term Surviving Patient after a Whipple Procedure for Pancreatic Adenocarcinoma
PATIENT Female, 74. FINAL DIAGNOSIS Recurrent cholangitis. SYMPTOMS -. MEDICATION -. CLINICAL PROCEDURE -. SPECIALTY Gastroenterology and Hepatology. OBJECTIVE Unusual clinical course. BACKGROUND Cholangitis may result from biliary obstruction (e.g., biliary or anastomotic stenosis, or foreign bodies) or occur in the presence of normal biliary drainage. Although reflux of intestin...
متن کاملEndoscopic ultrasound-guided retrograde pancreatic stent placement for the treatment of stenotic jejunopancreatic anastomosis after a Whipple procedure.
Endoscopic ultrasound (EUS)-guided [1, 2] or percutaneous [3] rendezvous methods have been used for the treatment of stenosis at the jejunopancreatic anastomosis following pancreatoduodenectomy. However, the use of EUS-guided retrograde pancreatic duct stenting has not been reported, even though it may be preferable from the point of view of complications. A 50-year-old man, who had been suffer...
متن کاملEndoscopic treatment of acute ascending cholangitis in a patient with Roux-en-Y limb obstruction after a Whipple operation.
with pancreatic head adenocarcinoma. He underwent pancreaticoduodenectomy (Whipple procedure). Four months later he developed obstructive jaundice, high fever, and chills. His total bilirubin level was 2.0mg/dL (range 0.3–1.2mg/dL) and alkaline phosphatase was 270 U/L (range 39–117 U/L). Computed tomography (CT) of the abdomen showedmarked dilatation of the afferent limb and a suspected recurre...
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ژورنال
عنوان ژورنال: BMJ Open Gastroenterology
سال: 2015
ISSN: 2054-4774
DOI: 10.1136/bmjgast-2015-000068