scholarly journals AB056. P027. Preoperative chemotherapy for resectable pancreatic cancer improves prognosis of node positive pancreatic head cancer

2018 ◽  
Vol 1 (1) ◽  
pp. AB056-AB056
Author(s):  
Hidehiro Tajima ◽  
Mitsuyoshi Okazaki ◽  
Takahisa Yamaguchi ◽  
Shinichi Nakanuma ◽  
Isamu Makino ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Preoperative Chemotherapy ◽  
Pancreatic Head ◽  
Resectable Pancreatic Cancer ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Node Positive

scholarly journals Lethal Bleeding from a Duodenal Cancerous Ulcer Communicating with the Superior Mesenteric Artery in a Patient with Pancreatic Head Cancer

2018 ◽  
Vol 12 (2) ◽  
pp. 479-486
Author(s):  
Yoshifumi Morita ◽  
Takanori Sakaguchi ◽  
Ryo Kitajima ◽  
Satoru Furuhashi ◽  
Ryota Kiuchi ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Superior Mesenteric Artery ◽  
Mesenteric Artery ◽  
Pancreatic Head ◽  
Severe Bleeding ◽  
Main Trunk ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Aortic Balloon Occlusion ◽  
Duodenal Bleeding

Pancreatic cancer often invades the duodenum and causes obstruction, but rarely causes massive duodenal bleeding. A 68-year-old male was admitted to our hospital because of vomiting. Enhanced abdominal CT showed a hypovascular tumor with air bubbles in the uncinate process of the pancreas. The tumor invaded the duodenum and metastasized to the liver and peritoneum. The main trunk of the superior mesenteric artery (SMA) was circumferentially involved. After admission, he had hematemesis and melena. Emergency gastroduodenoscopy revealed pulsating vessels in the third portion of the duodenum and he eventually experienced hemorrhagic shock. Severe bleeding occurred from his mouth and anus like a catastrophic flood. It was difficult to sustain blood pressure even with massive blood transfusion with pumping. After insertion of an intra-aortic balloon occlusion catheter, the massive bleeding was eventually stopped. Although we attempted interventional radiography, aortography revealed direct communication between the main SMA trunk and the duodenal lumen. The tumor was considered anatomically and oncologically unresectable. Thus, we did not perform further intervention. The patient died 2 h after angiography. Herein, we report the case of pancreatic head cancer causing lethal bleeding associated with tumor-involved SMA. Duodenal bleeding associated with pancreatic cancer invasion should be considered as an oncogenic emergency.

scholarly journals Inappropriate Secretion of Antidiuretic Hormone after Pancreatoduodenectomy for Pancreatic Head Cancer: A Case Report and Literature Review

2021 ◽  
pp. 134-140
Author(s):  
Nozomi Karakuchi ◽  
Ichiro Ohmori ◽  
Masashi Inoue ◽  
Kazuhiro Toyota ◽  
Tadateru Takahashi
Keyword(s):  
Pancreatic Cancer ◽  
Antidiuretic Hormone ◽  
Malignant Tumors ◽  
Early Stage ◽  
Gastrointestinal Surgery ◽  
Gastrointestinal Symptoms ◽  
Pancreatic Head ◽  
Head Cancer ◽  
Pancreatic Head Cancer ◽  
Inappropriate Secretion

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is a disease that leads to dilute hyponatremia through excessive secretion of antidiuretic hormone. SIADH has various causes, including ectopic ADH-producing tumors, drug properties, and can be idiopathic. But there have been very few reports of cases in which SIADH has developed after surgery for malignant tumors. In addition, few cases have been reported where this disease has developed after surgery for pancreatic cancer, because the symptoms of hyponatremia are non-specific. These symptoms are particularly gastrointestinal symptoms; therefore, it is difficult to differentiate them, even if SIADH has developed after gastrointestinal surgery. The patient in our case was an 80-year-old woman. She had persistent epigastralgia and left back pain. Imaging studies revealed a tumor in the head of the pancreas, which was diagnosed as pancreatic head cancer. We performed subtotal stomach-preserving pancreatoduodenectomy. After the operation, she complained of appetite loss and general fatigue. Her serum sodium levels decreased to 109 mEq/L on postoperative day 11. She was diagnosed with SIADH using the SIADH diagnostic criteria listed by the Japanese Ministry of Health, Labor and Welfare. We treated the patient with sodium supplementation for hyponatremia, and her symptoms ameliorated. After the event, she did not relapse with hyponatremia. This case is significant in that we performed differential diagnosis after major gastrointestinal surgery for pancreatic cancer and diagnosed SIADH at an early stage.

scholarly journals Current approaches to surgical treatment of pancreatic head cancer

2021 ◽  
Vol 12 (4) ◽  
pp. 5-13
Author(s):  
Maxim Yu. Kabanov ◽  
Nikolay I. Glushkov ◽  
Konstantin V. Sementsov ◽  
Anatoliy V. Skorodumov ◽  
Valentin V. Alekseev ◽  
...  
Keyword(s):  
Pancreatic Cancer ◽  
Surgical Intervention ◽  
Malignant Tumors ◽  
Pancreatic Head ◽  
Malignant Neoplasms ◽  
Extensive Experience ◽  
Head Cancer ◽  
Main Method ◽  
Pancreatic Head Cancer ◽  
The Past

Pancreatic cancer accounts for 810% of all cases of malignant tumors of the digestive organs and 5060% of pancreaticoduodenal malignant neoplasms. Over the past 30 years the incidence of pancreatic cancer in Russia has increased by 30%. The main method of treatment this category of patients requires surgical intervention. Extensive experience has been gained in using various types of surgical therapy. The review analyzes the results of modern studies on the efficacy and safety of the most common of them.

Clinical impact of preoperative tumour contact with superior mesenteric-portal vein in patients with resectable pancreatic head cancer

2021 ◽  
Author(s):  
Fabio Ausania ◽  
Santiago Sanchez-Cabus ◽  
Paula Senra del Rio ◽  
Alex Borin ◽  
Juan Ramon Ayuso ◽  
...  
Keyword(s):  
Portal Vein ◽  
Pancreatic Head ◽  
Clinical Impact ◽  
Head Cancer ◽  
Pancreatic Head Cancer

Percutaneous Palliation of Pancreatic Head Cancer: Randomized Comparison of ePTFE/FEP–Covered Versus Uncovered Nitinol Biliary Stents

2010 ◽  
Vol 34 (2) ◽  
pp. 352-361 ◽  
Author(s):  
Miltiadis Krokidis ◽  
Fabrizio Fanelli ◽  
Gianluigi Orgera ◽  
Dimitrios Tsetis ◽  
Ioannis Mouzas ◽  
...  
Keyword(s):  
Pancreatic Head ◽  
Biliary Stents ◽  
Head Cancer ◽  
Pancreatic Head Cancer
Sign in / Sign up

Export Citation Format

Share Document