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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Format: | Article |
Language: | English |
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JCDR Research and Publications Private Limited
2022-04-01
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Series: | Journal of Clinical and Diagnostic Research |
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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. |
first_indexed | 2024-04-10T20:30:27Z |
format | Article |
id | doaj.art-2e7b7c15780643b5a53c9365d72bc8c3 |
institution | Directory Open Access Journal |
issn | 2249-782X 0973-709X |
language | English |
last_indexed | 2024-04-10T20:30:27Z |
publishDate | 2022-04-01 |
publisher | JCDR Research and Publications Private Limited |
record_format | Article |
series | Journal of Clinical and Diagnostic Research |
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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