Figure 16.1 Computed Tomography scan demonstrating chronic pancreatitis with diffuse parenchymal calcifications. A large stone within the pancreatic head is seen occluding the duct of Wirsung My Management 1. Proceed…
Criterion Examples Poor response to maximal medical therapy Pancreatic enzyme replacement therapy, opiate analgesics, endoscopic decompression Preserved islet cell function Nondiabetic, C-peptide positive diabetes Debilitating pain Severe and intermittent vs….
Figure 7.1 CT scan of the abdomen with extensive pancreatic necrosis, with a large amount of peripancreatic edema and several poorly organized fluid collections, the largest measuring 5.7 cm ×…
Step Sample language Assess illness understanding (prognostic awareness) “What have you learned so far about your cancer diagnosis?” Assess information preferences “I’d like to assure that I am giving you…
Figure 6.1 CT of the pancreas notes a pancreatic ductal head stone with proximal pancreatic duct dilation My Management A. Continue IV hydration and follow-up in GI clinic as an…
© Springer International Publishing AG 2017Timothy B. Gardner and Kerrington D. Smith (eds.)Pancreatology10.1007/978-3-319-53091-8_3 3. Hospital Management of Acute Pancreatitis Nigeen H. Janisch1 (1) Department of Gastroenterology, Dartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH 03756, USA …
Figure 9.1 CT scan demonstrating the classic sausage-shaped appearance of patients with type 1 AIP My Management 1. Serologic testing for IgG4 and CA 19-9 and CT imaging for evaluation…
Figure 2.1 Representative CT scan from a patient with CFTR-induced pancreatitis. Note extensive calcifications, atrophy, and dilated main pancreatic duct My Management 1. Consider other causes of acute pancreatitis that…
© Springer International Publishing AG 2017Timothy B. Gardner and Kerrington D. Smith (eds.)Pancreatology10.1007/978-3-319-53091-8_15 15. Neoadjuvant Multimodality Therapy for Borderline Resectable Pancreatic Head Cancer Maureen V. Hill1 and Kerrington D. Smith1 (1) Department of Surgery, Dartmouth-Hitchcock Medical Center, One Medical…
Resectability Definition Resectable • No tumor involvement of the SMA • Tumor abutment <180° Borderline • Tumor-associated deformity of the PV or SMV • Abutment of the SMV or PV ≥180° • Short segment occlusion…
