Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series

Pancreatic cancer is a common gastrointestinal malignancies associated with poor prognosis. Most of the patients present only in late stage with metastasis or locally advanced disease during the time of diagnosis, requiring palliative surgery. At the time of diagnosis, patients usually have a few mo...

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Main Authors: N Indumathi, A Murugan, KV Rajan
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2022-04-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/16280/54930_CE[Ra1]_F[SH]_PF1_(PS_SS)_PFA(PS_KM)_PN(KM).pdf
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author N Indumathi
A Murugan
KV Rajan
author_facet N Indumathi
A Murugan
KV Rajan
author_sort N Indumathi
collection DOAJ
description Pancreatic cancer is a common gastrointestinal malignancies associated with poor prognosis. Most of the patients present only in late stage with metastasis or locally advanced disease during the time of diagnosis, requiring palliative surgery. At the time of diagnosis, patients usually have a few months of survival. The surgical palliation for such patients is a less explored area; so, here authors present a series of three patients, who presented with symptoms suggestive of Gastric Outlet Obstruction (GOO) or duodenal obstruction. On further work-up, they found to have pancreatic growth infiltrating the duodenum or Duodenojejunal Flexure (DJF). All three patients underwent palliative duodenojejunal bypass with relief of symptoms and improvement in quality of life in postoperative period. Hence, duodenojejunal bypass is an effective surgical procedure for palliation of obstructive symptom for advanced pancreatic cancer involving duodenum to improve the quality of life of the patient.
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spelling doaj.art-2e7b7c15780643b5a53c9365d72bc8c32023-01-25T06:42:55ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2022-04-01164PR01PR0310.7860/JCDR/2022/54930.16280Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case SeriesN Indumathi0A Murugan1KV Rajan2Resident 3rd Year, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Pondicherry, India.Associate Professor, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.Professor, Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India.Pancreatic cancer is a common gastrointestinal malignancies associated with poor prognosis. Most of the patients present only in late stage with metastasis or locally advanced disease during the time of diagnosis, requiring palliative surgery. At the time of diagnosis, patients usually have a few months of survival. The surgical palliation for such patients is a less explored area; so, here authors present a series of three patients, who presented with symptoms suggestive of Gastric Outlet Obstruction (GOO) or duodenal obstruction. On further work-up, they found to have pancreatic growth infiltrating the duodenum or Duodenojejunal Flexure (DJF). All three patients underwent palliative duodenojejunal bypass with relief of symptoms and improvement in quality of life in postoperative period. Hence, duodenojejunal bypass is an effective surgical procedure for palliation of obstructive symptom for advanced pancreatic cancer involving duodenum to improve the quality of life of the patient.https://www.jcdr.net/articles/PDF/16280/54930_CE[Ra1]_F[SH]_PF1_(PS_SS)_PFA(PS_KM)_PN(KM).pdfdistal pancreatic tumourduodenojejunal anastomosisduodenal obstructiongastric outlet obstructionpalliative surgerypancreatic adenocarcinoma
spellingShingle N Indumathi
A Murugan
KV Rajan
Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
Journal of Clinical and Diagnostic Research
distal pancreatic tumour
duodenojejunal anastomosis
duodenal obstruction
gastric outlet obstruction
palliative surgery
pancreatic adenocarcinoma
title Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
title_full Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
title_fullStr Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
title_full_unstemmed Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
title_short Role of Palliative Duodenojejunostomy in Advanced Pancreatic Carcinoma- A Case Series
title_sort role of palliative duodenojejunostomy in advanced pancreatic carcinoma a case series
topic distal pancreatic tumour
duodenojejunal anastomosis
duodenal obstruction
gastric outlet obstruction
palliative surgery
pancreatic adenocarcinoma
url https://www.jcdr.net/articles/PDF/16280/54930_CE[Ra1]_F[SH]_PF1_(PS_SS)_PFA(PS_KM)_PN(KM).pdf
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