Solid Pseudopapillary Neoplasm

Glucagonomas: Excess production of glucagon will result in Hyperglycemia somatostatinomas: This when tumor results in excess production of somatostatin which results in extreme reduction in secretion of many endocrine hormones. Gastrinomas: This when tumor causes the releasing of too much gastric acid in the

The pancreas produces hormones and digestive juices that regulate blood sugar, and pancreatic cancer symptoms include jaundice, upper abdominal bloating and pain that radiates to the back, poor appetite, and rapid weight loss. Although there are various treatments for pancreatic cancer such as surgery, chemotherapy, and radiation, only about 20% of people diagnosed with the disease are expected to live more than a

Chronic pancreatitis: Chronic pancreatitis, a long-term inflammation of the pancreas, is highly linked with an increased risk of pancreatic cancer, but most people with pancreatitis never develop pancreatic

Pancreatitis is the inflammation of the pancreas. It’s located in the stomach and its function is to provide the body with hormones to aid in the digestion, regulating glucose. The triggers for this health condition can be linked to heredity, lifestyle choices and injuries to the abdomen.

Pancreatitis – inflammation of the pancreas characterized by severe upper abdominal pain, vomiting, nausea, fever, and rapid pulse

staff, “Pancreatitis is inflammation in the pancreas”. (staff, 2016) The pancreas is a long, flat

Can CT be used to predict the outcome and progression of acute pancreatitis in patients exhibiting early signs and symptoms?

The focal point for acute pancreatitis treatment is to reduce the secretion of pancreatic enzymes, which inhibits the inflammatory process. Pancreatic/abdominal Inflammation results in nerve irritation and pain, the hallmark symptom of pancreatitis. The patient’s pain level was assess every two hours and addressed in a timely manner. After thirty minutes of administering the prescribed narcotic analgesia, the pain level was reassess to monitor the effectiveness of the medication. The patient reported a decrease or relief in pain after administration. The patient instituted non-pharmacologic pain relief through other measures, such as, sitting up in a chair during the day to promote comfort, stress reduction, and relaxation exercises. Upon palpation of patients’ abdomen, abdominal tenderness and slight distention noted. The patient stated, “The tenderness and distention in my stomach has decrease since my admission”. Since the patient was hypertensive to palpation or percussion of her abdomen during periods of pain, the pain level assessed and addressed prior to an abdominal assessment. Reducing the pancreatic secretion contributed to effective pain management and a decreased her pain level. It also contributed to decrease episodes of nausea and vomiting and improvement in serum lipase level (the diagnostic markers). Continuous gastric suctioning for first two days of admission and Nothing-by-mouth (NPO) status

Pancreatic pseudocysts account for majority of pancreatic cystic lesions. Mucinous and serous cystic tumors represent up to 60% of all cystic lesions. Nevertheless, pancreatic cystic neoplasms occur less frequently than solid ones, but are now found with increasing frequency due to improvement and refining of modern imaging techniques. Here we present a 55-year-old male who presented to the emergency department with severe abdominal pain, with an initial workup revealing an increase in serum lipase and imaging showing a 7.0 x 5.7 x 4.1 cm pseudocyst in the pancreatic head and uncinate process. Fine needle aspiration (FNA) was inconclusive with atypical cells and mucous background. A subsequent Whipple procedure was performed with resection

Methods: 71 Patients with pancreatic pseudocyst underwent endoscopic (n=35), laparoscopic (n=4) or open surgical drainage (n=32). The primary outcome was the primary and overall success rate. The secondary outcomes were estimated blood loss, operative time, opioid requirement, morbidity and mortality, length of hospital stay, hospital cost and recurrence rate.

Acute pancreatitis is a rapid inflammatory process when the tissue of pancreas “digests” itself due to enzymatic activity. The main reason for that is alcohol abuse and gallstones (Pfrimmer, 2008). Upon physical assessment for this patient, my findings were severe epigastric pain 8/10 radiating into the back, associated with nausea and vomiting. He had distended abdomen with bowel sounds diminished in all 4 quadrants. Patient was sweating and febrile, and demonstrated signs of hypovolemia due to fluid loss (Parker, 2004). His temperature was 37.8 C, heart rate 106 beats per min., respiratory rate 26 breaths per min., oxygen saturation 95%, and blood pressure 105/64 mmHg. The reason for temperature increase could be acute inflammation; patient was tachycardic, had diminished saturation, and dyspnea in attempt to compensate for decreased cardiac output and tissue hypoxia. His BP was low due to hypovolemia.

2 months ago the patient was at the local hospital for medical checkups, during physical examination: the endoscopy pointed out the mass arise from submucosa located at the fundus of the stomach, may be the stromal tumors, recommend for surgical treatment, the patient had no nausea and vomiting, no abdominal pain, abdominal distension, no diarrhea, no chest tightness, shortness of breath, no other discomfort, the patient came to our hospital for surgical treatment. The patient was admitted by the diagnosis of Gastric stromal

Recently, laparoscopic distal pancreatectomy (LDP) has emerged as choice of surgical procedure for benign or low-grade malignant tumor of the pancreas with an advantage of less postoperative pain and early recovery after surgery [1, 2]. Traditionally, spleen was removed during LDP because of surgical difficulty and its close relationship with pancreatic tail. However, splenectomy combined with resection of other abdominal organs was found to be associated with high postoperative morbidity like overwhelming post-splenectomy infection (OPSI), subphrenic abscess formation, hypercoagulability and even increase risk of cancer [3, 17, 18]. Thus, preservation of spleen during LDP is highly recommended.

Case Report: A 66 year old male with history of prostate cancer, anglioblastoma multiforme presented with jaundice and abdominal pain. Endoscopic retrograde cholangiopancreatography (ERCP) and Endoscopic Ultrasound (EUS) suggested a duodenal tumor at

The stomach was suspended from the abdominal wall, revealing the pancreas neck, body and tail. After exploration of the pancreas, pancreatic lesion was identified by using intraoperative laparoscopic ultrasound. In addition to this, with the help of laparoscopic coagulation shears inferior margin of the pancreas was divided to separate it from the retroperitoneum. The pancreas was then pulled superiorly and anteriorly, further revealing the superior mesenteric vein, inferior mesenteric vein and the splenic vein located within the fusion fascia of Toldt. The longitudinal dissection of the fusion fascia of Told towards the tail of the pancreas further revealed the splenic vein and was carefully isolated. Additionally, divulging and isolation of splenic artery was done by gentle traction of the splenic vein caudally using a vascular sling, where splenic artery lies just above the splenic vein Figure 2. The dissection then at that point continued from medial to lateral, ligating each branch of the splenic vessels encountered supplying the pancreas using laparoscopic coagulation shears or clips. After sufficient surgical margins were attained, the pancreas was transected 2 cm proximal to the tumor using 45 mm Endo-GIA stapler. Additionally, the Hem-O-lock was clamped to the distal end of the pancreatic body until the complete resection