Management of Pancreatic and Duodenal Neuroendocrine Tumors

Jan 5, 2018 by in ABDOMINAL MEDICINE Comments Off on Management of Pancreatic and Duodenal Neuroendocrine Tumors

© Springer-Verlag Italia 2018Massimo Carlini (ed.)Abdominal Neuroendocrine TumorsUpdates in Surgeryhttps://doi.org/10.1007/978-88-470-3955-1_11 11. Management of Pancreatic and Duodenal Neuroendocrine Tumors Luca Landoni, Sara Cingarlini, Salvatore Paiella, Stefano Severi, Marco Miotto, Chiara Nessi, Elisabetta Grego, Maddalena Sansovini, Massimo Carlini and Claudio Bassi1   (1) General and Pancreatic Surgery…

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Neuroendocrine Tumors Biomarkers

Jan 5, 2018 by in ABDOMINAL MEDICINE Comments Off on Neuroendocrine Tumors Biomarkers

Fig. 5.1 Neoplastic causes of elevated Chromogranin A (CgA). CgA elevations occur in different types of NETs but are usually more pronounced in GEP-NETs (small intestinal, gastric, and pancreatic NETs)….

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Sporadic Gastroenteropancreatic Neuroendocrine Tumors

Jan 5, 2018 by in ABDOMINAL MEDICINE Comments Off on Sporadic Gastroenteropancreatic Neuroendocrine Tumors

Tumor Biologically active peptide Tumor sites (abdominal) Main symptoms/signs Carcinoid syndrome Serotonin, tachykinins Midgut, pancreas Diarrhea, abdominal pain, flushing Gastrinoma Gastrin Duodenum, pancreas Pain, diarrhea Insulinoma Insulin Pancreas Hypoglycemic symptoms…

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Classification of Abdominal Neuroendocrine Tumors

Jan 5, 2018 by in ABDOMINAL MEDICINE Comments Off on Classification of Abdominal Neuroendocrine Tumors

Fig. 2.1 Histologic features of digestive neuroendocrine neoplasms as exemplified in the pancreas according to morphologic criteria for tumor grading. Well-differentiated neuroendocrine tumors of grade 1 exhibit organoid appearance featuring…

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Endoscopic Feeding Techniques

Jan 1, 2018 by in GASTROENTEROLOGY Comments Off on Endoscopic Feeding Techniques

Fig.7.1 Localization of feeding tubes at the upper GI tract (Jet-PEG PEG with jejunal port) Tubes’ nomenclature: Tubes to be inserted manually: Nasogastric tubes: – Nasogastric Tubes to be inserted…

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Endoscopic Resection Methods

Jan 1, 2018 by in GASTROENTEROLOGY Comments Off on Endoscopic Resection Methods

Fig. 1.1 Pit pattern classification according to Kudo They don’t replace (yet) the histopathological exam. The need for pre-therapeutic biopsies is under debate. For the confirmation of the existence of a…

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Proctological Interventions

Jan 1, 2018 by in GASTROENTEROLOGY Comments Off on Proctological Interventions

Fig. 9.1 a, b Segmental, third grade hemorrhoidal prolapse (digital reposition possible) The staging of hemorrhoids is carried out by thorough history taking and a meticulous proctological examination. In this…

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ERCP

Jan 1, 2018 by in GASTROENTEROLOGY Comments Off on ERCP

Biliary interventions Therapeutic intention Choledocholithiasis Stone extraction Lithotripsy Restoration of biliary drainage Cholestasis Restoration of biliary drainage Biliary pancreatitis Stone extraction Cholangitis Restoration of biliary drainage Stenosis Dilatation Bougienage Stenting…

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Combined Laparoscopic–Endoscopic Procedures

Jan 1, 2018 by in GASTROENTEROLOGY Comments Off on Combined Laparoscopic–Endoscopic Procedures

Fig. 10.1 a Hourglass-shaped gastrointestinal stromal tumor located in the gastric fundus that appears by endoscopic assessment to be endoluminally growing. b Endosonographic finding that obviously supports endoscopic assessment. c…

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