Surgery of Pancreatic Disorders Flashcards

1
Q

Presentation of head of pancreas cancer?

A

Obstructive jaundice
Diabetes
Abdominal/back pain
Anorexia

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2
Q

Investigations for staging of cancer?

A
ERCP
CT Abdomen
MRI/MRCP
Laparoscopy
PET scan
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3
Q

If a patient is unfit for resection of head of pancreas cancer, what are the surgical palliative care options?

A

ERCP + stent

Laparoscopic/open bypass of occluded area

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4
Q

Main surgery for resection of pancreatic cancer? Brief description?

A

Whipple surgery

Radical surgery that removes the head of pancreas, duodenum and gallbladder
- Stitch bile duct, body & tail of pancreas and the stomach to the jejunum directly

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5
Q

In acute pancreatitis where the disease is being mediated by infected necrotic abscesses in the pancreas, what treatment is available?

A

A pancreatic necrosectomy

Done laparoscopically, removes infected necrotic tissue

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6
Q

Causes of chronic pancreatitis?

A

O-A-TIGER

  • Obstruction of pancreatic duct
  • Autoimmune
  • Toxins
  • Idiopathic
  • Genetic
  • Environmental (tropical disease?)
  • Recurrent injuries
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7
Q

Signs of chronic pancreatitis?

A
Pain
Exocrine insufficiency
Diabetes 
Jaundice 
Duodenal obstruction
Upper GI haemorrhage
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8
Q

What is a celiac plexus block?

A

Injection of pain relieving medication that acts on the celiac plexus - stops abdominal pain (pancreatitis)

Often EUS/CT guided

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9
Q

Surgical treatment options for chronic pancreatitis?

A
Drainage:
- Pancreatic duct sphincteroplasty 
- Puestow 
Resection:
- Whipple
- Pancreatectomy
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10
Q

Was a bunch of cancer marker stuff at end of this lecture, cba researching it so take a look if you want.

A

Decent

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