Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?

Pancreatic cancer is as an aggressive malignancy with low survival rates. We present the first case of an operation of acute mesenteric ischemia performed in a patient with end-stage pancreatic adenocarcinoma. Through this case, we also discuss raising concerns regarding the management of severe com...

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Main Authors: Christos Damaskos, Nikolaos Garmpis, Anna Garmpi, Vasiliki Epameinondas Georgakopoulou, Alexandros Patsouras, Georgia Sypsa, Athanasios Syllaios, Efstathios A. Antoniou
Format: Article
Language:English
Published: Vilnius University Press 2021-12-01
Series:Acta Medica Lituanica
Subjects:
Online Access:https://www.zurnalai.vu.lt/AML/article/view/24504
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author Christos Damaskos
Nikolaos Garmpis
Anna Garmpi
Vasiliki Epameinondas Georgakopoulou
Alexandros Patsouras
Georgia Sypsa
Athanasios Syllaios
Efstathios A. Antoniou
author_facet Christos Damaskos
Nikolaos Garmpis
Anna Garmpi
Vasiliki Epameinondas Georgakopoulou
Alexandros Patsouras
Georgia Sypsa
Athanasios Syllaios
Efstathios A. Antoniou
author_sort Christos Damaskos
collection DOAJ
description Pancreatic cancer is as an aggressive malignancy with low survival rates. We present the first case of an operation of acute mesenteric ischemia performed in a patient with end-stage pancreatic adenocarcinoma. Through this case, we also discuss raising concerns regarding the management of severe complications such as acute mesenteric ischemia in patients with progressed pancreatic carcinoma. How ethical is to leave patients untreated? The decisions for management of patients with advanced disease are strongly based on the expected quality of life, ethical principles, different religions and spiritualities, and the burden of healthcare cost.
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spelling doaj.art-6461e0f042a34effb25201aa4344a8a52022-12-22T03:06:16ZengVilnius University PressActa Medica Lituanica1392-01382029-41742021-12-0128210.15388/Amed.2021.28.2.17Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?Christos Damaskos0Nikolaos Garmpis1Anna Garmpi2Vasiliki Epameinondas Georgakopoulou3Alexandros Patsouras4Georgia Sypsa5Athanasios Syllaios6Efstathios A. Antoniou7enal Transplantation Unit, Laiko General Hospital, Athens, Greece; N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece; Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceFirst Department of Propedeutic Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, GreeceLaiko General Hospital; Sismanogleio Hospital, Athens, GreeceN.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, GreeceDepartment of Radiology, Laiko General Hospital, Athens, Greece; School, National and Kapodistrian University of Athens, GreeceFirst Department of Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, GreeceSecond Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, GreecePancreatic cancer is as an aggressive malignancy with low survival rates. We present the first case of an operation of acute mesenteric ischemia performed in a patient with end-stage pancreatic adenocarcinoma. Through this case, we also discuss raising concerns regarding the management of severe complications such as acute mesenteric ischemia in patients with progressed pancreatic carcinoma. How ethical is to leave patients untreated? The decisions for management of patients with advanced disease are strongly based on the expected quality of life, ethical principles, different religions and spiritualities, and the burden of healthcare cost.https://www.zurnalai.vu.lt/AML/article/view/24504End-stage pancreatic cancerAcute mesenteric artery ischemiaSurgeryTreatmentEthical dilemma
spellingShingle Christos Damaskos
Nikolaos Garmpis
Anna Garmpi
Vasiliki Epameinondas Georgakopoulou
Alexandros Patsouras
Georgia Sypsa
Athanasios Syllaios
Efstathios A. Antoniou
Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
Acta Medica Lituanica
End-stage pancreatic cancer
Acute mesenteric artery ischemia
Surgery
Treatment
Ethical dilemma
title Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
title_full Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
title_fullStr Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
title_full_unstemmed Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
title_short Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
title_sort ethical dilemma is it worthwhile operating an end stage pancreatic cancer patient with acute mesenteric artery ischemia
topic End-stage pancreatic cancer
Acute mesenteric artery ischemia
Surgery
Treatment
Ethical dilemma
url https://www.zurnalai.vu.lt/AML/article/view/24504
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