Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0021933 (intussusception)
 3,822 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Studies on the expanded eradicative and modified operation for treatment in patients of late pancreas head cancer, so as to enhance the incised rate, survival rate and life quality. Elective laparotomy was done in 20 patients. Expanded eradicative operation was performed in 18 patients (portal vein excision 19, left outer leaf of liver 8, transverse colon 3). We have reconstructed the portal vein 6, modified the Whipple operation, reconstructed the elementary tract using Roux-Y interposed jejunum with orientatied intussusception of artificial papilla. The incised rate of expanded eradication was 90% without postoperative serious complications such as biliary and pancreatic leakage, massive hemorrhage and operative death. The longest survival time was 5 years. The two-year survival rate was 50%. Statistical analysis (t test and x2) showed signithicant differences (P < 0.001).: (1) The exsion of original carcinomous focus may relieve the patient's symptoms and can prevent portal vein from carcinomous cell infiltration. (2) After enbloc incision with metastatic focus, sequential treatment could be given successfully.
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PMID:[Clinical application of expanded radical operation with improved Whipple technique to late pancreas head cancer]. 1067 87

Post-pancreaticoduodenectomy hemorrhage is a life-threatening complication that occurs in 2-10% of patients. The most common location for post-pancreaticoduodenectomy hemorrhage is the gastroduodenal artery stump. Nonetheless, unusual sources of hemorrhage, which are hard to locate, exist. Here, we report a rare postoperative hemorrhage after robotic-assisted pancreatoduodenectomy for pancreatic head cancer. A 67-year-old man presenting with appetite loss, general fatigue and painless jaundice was admitted to our ward. The patient had an elevated level of carbohydrate antigen 19-9 (50 U/mL). Computed tomography scan revealed a 17-mm wide low-density area in the uncinate process of the pancreas. Magnetic resonance cholangiopancreatography showed the dilation of bile and pancreatic ducts. Robotic-assisted pancreaticoduodenectomy was performed on the patient by using the da Vinci Model S Surgical System. On postoperative days 5 and 6, the patient vomited blood, and bloody fluid was observed in the drainage. Emergent gastroscopic examination was performed and revealed a large amount of hematocele in the stomach. On postoperative day 6, emergency operation was undertaken, and the output jejunal loop was found to have intussuscepted in the stomach. This is the first case report of output jejunal loop intussusception in the stomach that consequently caused hemorrhage after robotic-assisted pancreaticoduodenectomy for pancreatic head cancer.
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PMID:Rare postoperative hemorrhage after robotic-assisted pancreatoduodenectomy for pancreatic head cancer: a case report. 3295 64