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Pancreatic surgery: pancreatitis, pancreatic tumors

General Surgery · MBBS

Study notes

Painless progressive jaundice with weight loss — pancreatic head cancer; Whipple's if resectable. Pancreatic adenocarcinoma (head — painless progressive jaundice, Courvoisier's gallbladder, weight loss: CT — resectable?; Whipple's pancreaticoduodenectomy — head; distal — distal pancreatectomy; unresectable — biliary stenting + chemo — gemcitabine): presents late — prognosis poor. Pancreatitis surgical (infected necrosis — necrosectomy; pseudocyst — amylase-rich — <6cm observe, >6cm/symptomatic — endoscopic/percutaneous/surgical drainage). Insulinoma (Whipple's triad — hypoglycemia symptoms + low glucose + relief with glucose: enucleation). The painless jaundice is pancreatic until proven — CT stages it.

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