Pancreas Flashcards
Why must the duodenum be removed if the head of the pancreas is removed
They share the same blood supply
Gastroduodenal artery
What is the endocrine function of the pancreas
Islets of Langerhans
What is the exocrine function of the pancreas
Digestive enzymes: amylase, Lipase, trypsin
What maneuver is used to mobilize the duodenum and pancreas and evaluate the entire pancreas
Kocher maneuver - Incise the lateral attachments of the duodenum and then lift the pancreas to examine the posterior surface
Inflammation of the pancreas
Pancreatitis
What are the most common etiologies in the US for pancreatitis
Alcohol abuse 50%
Gallstones 30%
Idiopathic 10%
What lab test should be ordered
Amylase/lipase
Longitudinal pancreaticojejunostomy with core resection of the pancreatic head
Frey procedure
Encapsulated collection of pancreatic fluid
Pancreatic pseudocyst
What makes a “pseudo” cyst
Wall is formed by inflammatory fibrosis, NOT epithelial cell lining
Adenocarcinoma of the pancreas arising from duct cells
Pancreatic carcinoma
What are the most common symptoms of pancreatic cancer
Weight lost 90%
Pain 75%
Jaundice 70%
What is the treatment of pancreatic cancer based on location
Head - Whipple (pancreaticoduodenectomy)
Body or tail - Distal resection
Removal of the head of the pancreas and duodenum
Pancreaticoduodenectomy
Anastomosis of common bile duct to jejunum
Choleduochojejunostomy
Anastomosis of distal pancreas remnant to jejunum
Pancreaticojejunostomy
Anastomosis of stomach to jejunum
Gastrojejunostomy
