We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byJulian Montgomery
Modified over 4 years ago
Diseases of the Pancreas
67 y old male with loss of appetite, gradual weight loss and dyspepsia. Recent onset of jaundice and dark urine.
Pancreatic cancer 4 th most common cancer-related death Mainly adenocarcinoma Persons 60-80 yrs 5 year survival < 4%
Pancreatic cancer Smoking Chronic pancreatitis Obesity Diabetes Family history Cystic lesions (IPMN/MCA) Risk factors:
Pancreatic intraepithelial neoplasia (PanIN 1-3)
Pancreatic adenoCa Head>whole gland>body>tail Lesions of head/ampulla > jaundice, Courvoisier’s gallbladder Often invade surrounding structures (inoperable)
Pancreatic cancer Anorexia, Weight loss Painless jaundice Chronic back pain Depression Thrombophlebitis Symptoms:
Pancreatic cancer Elevated serum CA 19-9 CEA Diabetes mellitus Laboratory findings:
Pancreatic cancer diagnosis US, CT, EUS, ERCP, MRI
Endoscopic UltraSonography (EUS)
EUS + FNA
Pancreatic cancer - treatment Surgical resection: Resectability determined by: 1) no metastases 2) no invasion of porta hepatis, portal vein behind body of pancreas, SMA region 3) no spread to liver or other peritoneal structures
Pancreatic cancer - surgical therapy Classical Pancreaticoduodenectomy - Whipple’s procedure Pylorus preserving
Pylorus preserving pancreaticoduodenectomy
Endoscopic endoprosthesis drainage (by ERCP) Pancreatic cancer Endoscopic palliation
St. John Providence Health System
Prof. Faisal Ghani Siddiqui FCPS; PGDip-bioethics; MCPS-HPE
Treatment of malignant obstruction Adjunct to surgery Treatment of CBD calculi Treatment of benign strictures Diagnostic? Failed ERCP.
Gastrointestinal & Hepatic- Biliary Systems Chapter 5 Part II.
Martina Rastovac Mentor: A. Žmegač Horvat. Actor Patrick Swayze died after a 20-month battle with pancreatic cancer. He was 57.Patrick Swayze.
Obstructive Jaundice Michael Richardson 8/20/04. Obstructive jaundice LC is a 57 yo male who presents with painless jaundice Differential diagnosis (highest.
Pancreas Cancer Nimisha K. Parekh, MD, MPH
Pancreatic cancer By Linda Sircy.
62 years old man Main complaint: Back pain at night but not during the day Loss of appettite Weight loss.
Gallbladder and Pancreas Gallbladder Anatomy and physiology Calculous biliary disease Benign acalculous biliary disease Malignant biliary disease.
JAUNDICE Index Case Term 2.
Hepatobiliary Anatomy and Pathology
IgG4 Pancreatitis Dr Chan Lok Lam Laura United Christian Hospital JHSGR 6 th Aug, 2011.
Tumors of the bile ducts
Advances in Hepatobiliary Surgery Jack Matyas, MD, FACS & Keith Nichols, MD, FACS.
Chapter 12 Liver, Gallbladder, and Pancreas Diseases and Disorders
Liver, Gallbladder, and Pancreas Diseases and Disorders
Treatment Localized disease: Radical nephrectomy. Metstatic disease: Radiation therapy. Immunotherapy PROGNOSIS: stage % 5yrs survival stageII 60%
J AUNDICE Mohammed Al- Rajeh & Shreef Al- Qahtani.
Living Beyond Breast Cancer Liver and Lung Metastases Workshop April 29, 2012 Paul B. Gilman, MDLankenau Medical Center.
© 2019 SlidePlayer.com Inc. All rights reserved.