scholarly journals Periampullary Region

2020 ◽  
Author(s):  
Keyword(s):  
Periampullary Region

scholarly journals Haemobilia in a previously stented hilar cholangiocarcinoma: successful haemostasis after the insertion of fcSEMS

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
T Tien ◽  
Y C Tan ◽  
P Baptiste ◽  
S Tanwar
Keyword(s):  
Abdominal Pain ◽  
Blood Loss ◽  
Gastrointestinal Bleeding ◽  
Hilar Cholangiocarcinoma ◽  
Upper Gastrointestinal Bleeding ◽  
Metal Stent ◽  
Distal Stomach ◽  
Periampullary Region ◽  
Altered Blood ◽  
Upper Gastrointestinal

Abstract Haemobilia describes blood loss from the biliary tract and classically presents as Quincke’s triad: upper gastrointestinal bleeding (UGIB), jaundice and right upper quadrant abdominal pain. We discuss the case of a 70-year-old male with a previously stented Bismuth 1 hilar cholangiocarcinoma who presented with haematemesis. He had a similar presentation a month ago where a forward viewing gastroscope identified fresh and altered blood in the distal stomach but no clear source of bleeding. During this admission, a side-viewing duodenoscope identified bleeding from the periampullary region, which was managed by inserting a fully covered self-expanding metal stent (fcSEMS) within his pre-existing uncovered SEMS to tamponade the haemorrhage. This case highlights the importance of using a side-viewing duodenoscope for patients with UGIB on a background of a stented cholangiocarcinoma and inserting a fcSEMS within an uncovered SEMS is feasible and effective in managing these patients.

Results of surgical palliation for cancer of the head of the pancreas and periampullary region

1992 ◽  
Vol 79 (8) ◽  
pp. 795-798 ◽  
Author(s):  
R. Prětre ◽  
O. Huber ◽  
J. Robert ◽  
C. Soravia ◽  
R. A. Egeli ◽  
...  
Keyword(s):  
Surgical Palliation ◽  
Head Of The Pancreas ◽  
Periampullary Region

scholarly journals Preoperative Determination of Operability in Carcinomas of the Pancreas and the Periampullary Region

1968 ◽  
Vol 168 (5) ◽  
pp. 876-886 ◽  
Author(s):  
TOSHIO SATO ◽  
YOICHI SATTOH ◽  
KENJI KOYAMA ◽  
KENICHI WATANABE
Keyword(s):  
Periampullary Region

scholarly journals Pancreatic Resection for Carcinoma of the Pancreas and the Periampullary Region. A Twenty-Year Experience

HPB Surgery ◽  
1990 ◽  
Vol 2 (1) ◽  
pp. 57-67 ◽  
Author(s):  
M. I. Kairaluoma ◽  
M. Ståhlberg ◽  
H. Kiviniemi
Keyword(s):  
Pancreatic Resection ◽  
Survival Rates ◽  
Morbidity Rate ◽  
Periampullary Cancer ◽  
Limiting Factor ◽  
Minimal Risk ◽  
Tumour Histology ◽  
Periampullary Region ◽  
Radical Removal ◽  
Long Term Prognosis

410 patients were treated for pancreatic and periampullary carcinoma in 1968–1987 of whom 89 (21.5%) underwent resection. Hospital mortality decreased from 33% in 1968–1972 to 0% in 1983–1987, but the morbidity rate remained unchanged. The trends were similar in patients ≥ 70 and < 70 years of age. The pylorus-saving technique did not increase mortality, morbidity, operative blood loss or the incidence of delayed gastric emptying, but it did reduce the operative time by one hour (p< 0.01). The real 5 year survival for periampullary cancer was 52%, but none of the patients with pancreatic carcinoma survived for 5 years.It is concluded that age as such is not a limiting factor for pancreatic resection. Resection can be performed with acceptable mortality and survival rates even in patients over 70 years of age if enough attention is paid to careful patient selection and proper preparation. The long-term prognosis is nevertheless related to tumour histology. The recent decline in operative mortality is mostly due to the resections being performed by the same group of surgeons. The best biopsy, and also palliation, is radical removal of the suspicious mass, provided that this can be performed with minimal risk.

scholarly journals CLINICAL SIGNIFICANCE OF ANGIOGRAM FOR THE CANCER OF PANCREAS HEAD AND PERIAMPULLARY REGION

1981 ◽  
Vol 14 (4) ◽  
pp. 578-583
Author(s):  
Minoru NAKAMOTO ◽  
Yoshiaki SATO ◽  
Tsuneo TAKAHASHI ◽  
Tetsuya IDE ◽  
Yasuyoshi MORINAGA ◽  
...  
Keyword(s):  
Clinical Significance ◽  
Pancreas Head ◽  
Periampullary Region

scholarly journals Adjuvant Radiotherapy and 5-Fluorouracil After Curative Resection of Cancer of the Pancreas and Periampullary Region

1999 ◽  
Vol 230 (6) ◽  
pp. 776 ◽  
Author(s):  
Jean H. Klinkenbijl ◽  
Johannes Jeekel ◽  
Tarek Sahmoud ◽  
Renée van Pel ◽  
Marie Laure Couvreur ◽  
...  
Keyword(s):  
Adjuvant Radiotherapy ◽  
Curative Resection ◽  
Cancer Of The Pancreas ◽  
Periampullary Region

scholarly journals Diabetes and Pancreatic Anastomosis: Friend or Foe?

2018 ◽  
Vol 14 (1) ◽  
pp. 49-52
Author(s):  
Awaj Kafle ◽  
Vikas Gupta
Keyword(s):  
Operative Procedure ◽  
Pancreatic Head ◽  
Cross Sectional Study ◽  
High Morbidity ◽  
Chi Square ◽  
Pancreatic Anastomosis ◽  
Cross Sectional ◽  
The Past ◽  
Periampullary Region ◽  
Malignant Lesions

Background & Objectives:Pancreaticoduodenectomy (PD) has become a standard operative procedure for both benign and malignant lesions of pancreatic head and periampullary region. Pancreatic Fistula (PF) is the most troublesome complication and heralds the development of other complications. The procedure was associated with high morbidity and mortality in the past but with the identification of various risk factors associated with the development of PF, the management has changed dramatically. Similarly, Diabetes mellitus (DM) and poor glycemic control is associated with various adverse postoperative events. So, the objective of this study was to identify the association between DM and postoperative occurrence of PF.Materials & Methods:This was a prospective cross-sectional study enrolling a total of 72 patients. Patients were screened for the presence or absence of DM based on guidelines by American Diabetes Association in January 2009. After surgery, patients were observed for the development of PF. The association between these two was assessed using Chi-Square test.Results:Out of 72 patients, 12 had DM. All the patients who had DM did not develop PF; in contrast 15 patients who developed PF were non-diabetic.Conclusion:Diabetes Mellitus was found to be protective in preventing the occurrence of PF postoperatively.

Overexpression of the Long Noncoding RNA HomeoboxA Transcript at the Distal Tip Predicts Poor Prognosis in a KRAS-Independent Manner in Periampullary Region Tumors

Pancreas ◽  
2018 ◽  
Vol 47 (2) ◽  
pp. 213-220 ◽  
Author(s):  
Ozkan Balcin ◽  
Secil Ak Aksoy ◽  
Berrin Tunca ◽  
Ekrem Kaya ◽  
Unal Egeli ◽  
...  
Keyword(s):  
Long Noncoding Rna ◽  
Noncoding Rna ◽  
Poor Prognosis ◽  
Independent Manner ◽  
Periampullary Region

scholarly journals Undifferentiated carcinoma with osteoclast-like giant cells of the pancreas and periampullary region

Cancer ◽  
1998 ◽  
Vol 83 (5) ◽  
pp. 1051-1051 ◽  
Author(s):  
Kim Deckard-Janatpour ◽  
Raymond L. Teplitz ◽  
Byung Hee Min ◽  
Boris H. Ruebner ◽  
Paul H. Gumerlock
Keyword(s):  
Giant Cells ◽  
Undifferentiated Carcinoma ◽  
Periampullary Region
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