scholarly journals A Case of Early Carcinoma of the Papilla of Vater Presenting with Acute Pancreatitis.

2001 ◽  
Vol 62 (10) ◽  
pp. 2408-2411 ◽  
Author(s):  
Toshio UEMATSU ◽  
Hiroshi KITAMURA ◽  
Masanori IWASE ◽  
Hitoshi TOMONO ◽  
Shingo KUZE
Keyword(s):  
Acute Pancreatitis ◽  
Early Carcinoma ◽  
Papilla Of Vater

scholarly journals A Case of Early Carcinoma of the Papilla of Vater Diagnosed One Year after the Onset of Acute Pancreatitis.

2002 ◽  
Vol 35 (12) ◽  
pp. 1798-1802 ◽  
Author(s):  
Katsumi Amikura ◽  
Hirohiko Sakamoto ◽  
Daisuke Yoshinari ◽  
Terutada Kobayashi ◽  
Masao Ogata ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Early Carcinoma ◽  
Papilla Of Vater ◽  
One Year

scholarly journals EARLY CARCINOMA OF THE PAPILLA OF VATER PRESENTING WITH ACUTE PANCREATITIS-CASE REPORT-

2004 ◽  
Vol 65 (7) ◽  
pp. 1933-1936 ◽  
Author(s):  
Akira IGARASHI ◽  
Toshiyuki ORI ◽  
Takaaki SAITOU ◽  
Takashi ITO
Keyword(s):  
Acute Pancreatitis ◽  
Case Report ◽  
Early Carcinoma ◽  
Papilla Of Vater

scholarly journals A Case of Normal-type Early Carcinoma of the Papilla of Vater.

1994 ◽  
Vol 27 (8) ◽  
pp. 2015-2018
Author(s):  
Osamu Yamada ◽  
Shoji Uetsuji ◽  
Masanori Uehara ◽  
A-Hon Kwon ◽  
Yasuo Kamiyama
Keyword(s):  
Early Carcinoma ◽  
Papilla Of Vater ◽  
Normal Type

scholarly journals A Case of Pancreas Divisum Concomitant with Early Carcinoma of Papilla of Vater

2001 ◽  
Vol 58 (2) ◽  
pp. 100-101
Author(s):  
Noriko Tsuchiya ◽  
Takayoshi Nishino ◽  
Fumitake Toki ◽  
Hiroyasu Oyama ◽  
Syoko Hisada ◽  
...  
Keyword(s):  
Pancreas Divisum ◽  
Early Carcinoma ◽  
Papilla Of Vater ◽  
Pancréas Divisum

Pedunculated Early Carcinoma of Supra-Ampullary Duodenum Presenting as Acute Pancreatitis

2002 ◽  
Vol 31 (1-3) ◽  
pp. 185-190 ◽  
Author(s):  
Yasuo Okamoto ◽  
Masatoshi Fujii ◽  
Shinpei Tateiwa ◽  
Toshiyuki Sakai ◽  
Fukashi Ochi ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Early Carcinoma

scholarly journals The Role of Surgery in the Management of Acute Pancreatitis

2000 ◽  
Vol 14 (suppl d) ◽  
pp. 136D-140D ◽  
Author(s):  
Beat Gloor ◽  
Waldemar Uhl ◽  
Christophe A Müller ◽  
Markus W Büchler
Keyword(s):  
Acute Pancreatitis ◽  
Intensive Care ◽  
Necrotizing Pancreatitis ◽  
Bleeding Risk ◽  
Intensive Care Treatment ◽  
Papilla Of Vater ◽  
Infected Necrosis ◽  
Intensive Care Unit Treatment ◽  
Care Treatment ◽  
Mechanical Factors

The clinical course of an episode of acute pancreatitis varies from a mild, transitory form to a severe necrotizing form characterized by multisystem organ failure and mortality in 20% to 40% of cases. Mild pancreatitis does not need specialized treatment, and surgery is necessary only to treat underlying mechanical factors such as gallstones or tumours at the papilla of Vater. On the other hand, patients with severe necrotizing pancreatitis need to be identified as early as possible after the onset of symptoms to start intensive care treatment. In this subgroup of patients, approximately 15% to 20% of all patients with acute pancreatitis, stratification according to infection status is crucial. Patients with infected necrosis must undergo surgical intervention, which consists of an organpreserving necrosectomy followed by postoperative lavage and/or drainage to evacuate necrotic debris, which appears during the further course of the condition. Primary intensive care treatment, including antibiotic treatment, delays the need for surgery in most patients until the third or fourth week after the onset of symptoms. At that time, necrosectomy is technically easier to perform and the bleeding risk is reduced, compared with necrosectomy earlier in the disease course. In patients with sterile necrosis, the available data strongly support a conservative approach (ie, intensive care unit treatment). Surgery is rarely necessary in these patients.

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