胰腺疾病中山大學內科學-資料下載頁
2025-01-16 17:33本頁面
【正文】 ancreatic pseudocyst 6cm without symptom, no treatment。 the others or more than 36m, surgical drainage ? pancreatic abscess surgical drainage Chronic Pancreatitis Pancreatic Cyst Periampullary Carcinoma ?carcinoma of head of pancreas ?ampullary carcinoma duodenal papillary carcinoma carcinoma of distal mon bile duct carcinoma of Vater39。s ampulla Symptoms and signs ?upper abdominal pain (vague → severe, back pain ) 70％ ?jaundice (painless) 80% ?weight loss 75％ ?Trousseau’s syndrome, Courvoisier’s sign ?others: nausea, vomiting, anorexia, steatorrhea, panceatitis, changes of stools, diabetes mellitus, etc Blood test ? bilirubin, alkaline phosphatase ↑↑, transaminase↑ ? CA199,CEA Periampullary Carcinoma Imaging studies ? ultrasound (initial) ? BM barium meal ? CT ? ERCP ? PTCD ? MRI, MRCP ? angiography ? EUS endoscopic ultrasonography Surgical procedures ? Whipple procedure, pancreatoduodenectomy ? PPPD, pyloruspreserving pancreatoduodenectomy ? Palliative surgical management CHJ， cholangiojejunostomy gastrojejunostomy celiac plexus block endocrine tumors of pancreas ? Whipple’s triad ? ZollingerEllison syndrome THANK
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