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pancreatic fistula/diarreia
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Diarrhea in critically ill patients.
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The onset of diarrhea complicates the care of critically ill patients, who often have complex cardiopulmonary, renal or metabolic problems. Diarrhea further upsets fluid and electrolyte balance and creates difficulties in nutritional support. Common causes of acute diarrhea in critically ill
Treatment of external pancreatic fistulas with somatostatin. Second place winner: Conrad Jobst award.
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Five patients with external pancreatic fistulas were treated with a synthetic peptide that mimics the action of somatostatin (Sandostatin, Sandoz; East Hanover, NJ). Four of the patients developed fistulas after drainage of pancreatic pseudocysts and one developed a fistula following resection of a
Sandostatin in the management of nonendocrine gastrointestinal and pancreatic disorders: a preliminary study.
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Between October 1987 and July 1990 a prospective, nonrandomized, preliminary study was carried out to assess the efficacy of Sandostatin in treating complex pancreatic and gastrointestinal disorders. The study group consisted of 18 women and 12 men, ranging in age from 23 to 80 years (mean 50
Treatment of pancreatic pseudocysts with percutaneous drainage and octreotide. Work in progress.
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In an attempt to decrease catheter drainage of pancreatic pseudocysts, a combined regimen of percutaneous drainage and administration of octreotide acetate was used in eight symptomatic patients. Indications for the combined therapy were pseudocyst recurrence (four patients), pancreatic fistula from
[Pancreatic duct prosthesis].
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Endoprothetic stenting of the pancreatic duct is reported in limited series. Twelve patients are presented here. In five patients with confirmed or suspected pancreatic malignancy, pain and diarrhea subsided or disappeared, and two patients had a temporary gain in weight. Four patients with chronic
[Perioperative complications and recent results of Frey procedure in the treatment of chronic pancreatitis].
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OBJECTIVE
To analyze the perioperative complications and recent results of the Frey procedure in the treatment of chronic pancreatitis.
METHODS
Between February 2009 and September 2012, 104 patients with chronic pancreatitis underwent the Frey procedures. This study included 91 male and 13 female
Long-term postoperative survival of a gastric cancer patient with numerous para-aortic lymph node metastases.
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A56-year-old man with advanced gastric cancer was referred to our hospital. Preoperative abdominal computed tomography revealed numerous enlarged lymph nodes, including the lymph nodes of the paraaortic region. The patient underwent total gastralectomy, splenectomy, left-adrenalectomy and resection
Feasibility of neoadjuvant S-1 and oxaliplatin followed by surgery for resectable advanced gastric adenocarcinoma.
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OBJECTIVE
In Japan, the administration of S-1 following D2 gastrectomy is a standard treatment for stage II/III gastric cancer (GC). However, the survival of stage IIIB/IIIC GC remains unsatisfactory. To improve this, we conducted a multicenter phase II study to evaluate the safety and efficacy of a
[The clinical impact of artery-first approach combined with vascular resection and reconstruction in the treatment of pancreatic head carcinoma].
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Objective: To evaluate the application of artery first, combined vascular resection and reconstruction in the treatment of pancreatic head carcinoma. Methods: The clinical data of 13 patients with pancreatic head cancer were retrospectively analyzed from February 2014 to March 2016 in the Affiliated
Somatostatin analog therapy in treatment of gastrointestinal disorders and tumors.
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Long-acting octapeptide somatostatin analogs can effectively control symptoms resulting from excessive hormone release in patients with endocrine tumors of the gastrointestinal tract, provided that these tumors and metastases show a high expression of the somatostatin receptor subtype 2. The
The posterior approach in pancreaticoduodenectomy: preliminary results.
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OBJECTIVE
We present our technical version of pancreaticoduodenectomy by posterior approach that enables a complete dissection of the right side of the mesenteric superior artery and of the portal vein, as well as a complete excision of the retroportal pancreatic process (or lamina), and report the
The effect of bilateral U-sutures in pancreaticojejunostomy in 75 consecutive cases.
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[Observation on the efficacy of modified Appleby operation for carcinoma of the body and tail of the pancreas].
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OBJECTIVE
To evaluate the security, feasibility and therapeutic efficacy of modified Appleby operation for carcinoma of the body and tail of pancreas.
METHODS
From March 2010 to February 2015 modified Appleby operation was performed in 17 patients with carcinoma of the body and tail of the pancreas.
[A clinical series of 80 patients with adenosquamous carcinoma of pancreas].
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OBJECTIVE
To raise the awareness of adenosquamous carcinoma of pancreas and discuss the treatment of it.
METHODS
Clinical data of 80 cases of pancreas adenosquamous carcinoma patients in the Department of Pancreas Surgery of Changhai Hospital of Second Military Medical University from December 2003
Is Central Pancreatectomy Truly Recommendable? A 9-Year Single-Center Experience.
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OBJECTIVE
To compare the short- and long-term outcomes in patients with pancreatic benign or borderline neoplasm who underwent central pancreatectomy (CP) and distal pancreatectomy (DP).
METHODS
The inclusion criteria were as follows: (1) single benign or low-grade malignant tumor; (2) tumor confined
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