Tail of Pancreas

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Beth Erickson - One of the best experts on this subject based on the ideXlab platform.

Sten Saar - One of the best experts on this subject based on the ideXlab platform.

  • necrosis of the Tail of Pancreas following proximal splenic artery embolization
    Journal of Surgical Case Reports, 2016
    Co-Authors: Peep Talving, Mariliis Rauk, Liisa Vipp, Karlgunnar Isand, Aleksandr Samarin, Kalle Poder, Indrek Ratsep, Sten Saar
    Abstract:

    The current case report presents a rare complication of a significant pancreatic Tail necrosis following proximal splenic artery embolization in a 32-year-old male patient involved in a motorcycle accident. Proximal angiographic embolization of the splenic injury after trauma is a widely accepted method with excellent success rate; however, possible complications may occur and has been described in the literature. Nevertheless, only a few case reports pertinent to clinically significant pancreatic Tail necrosis after the SAE has been reported. Thus, we add a case report to the scarce literature pertinent to this detrimental and rare complication.

Renyi Qin - One of the best experts on this subject based on the ideXlab platform.

  • adrenocorticotropic hormone producing pancreatic neuroendocrine neoplasms a systematic review
    Endocrine Practice, 2021
    Co-Authors: Guangbing Xiong, Hang Zhang, Min Wang, Feng Zhu, Renyi Qin
    Abstract:

    Abstract Objective Adrenocorticotropic hormone-producing pancreatic neuroendocrine neoplasm (ACTHoma) is an exceedingly rare type of pancreatic neuroendocrine neoplasm (pNEN) that often causes ectopic adrenocorticotropic hormone syndrome. These neoplasms have been found to be very aggressive and challenging to treat. The current systematic review aimed to analyze the clinical features, immunohistochemical characteristics, diagnosis, therapy, and prognosis of ACTHoma. Methods A systematic review of the English- and Chinese-language literature was performed. PubMed, EMBASE, and Wanfang databases were searched to identify articles about ACTHoma in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines. Results A total of 210 studies encompassing 336 patients diagnosed with ACTHoma were selected for the systematic review, including 16 Chinese patients. Conclusion ACTHoma was more common in women (66.4%), and the mean age was 44.7 years. Tumors were generally large, and the mean tumor size was 4.43 cm. The incidence of clinical manifestations was: hypokalemia, 69.3%; diabetes, 63.2%; weakness, 60.1%, hypertension, 56.4%; moon face 41.1%; and edema, 37.4%. These tumors are more commonly found in the Tail of Pancreas, and the most frequent site of metastasis was the liver. The pNENs or other functioning pNENs could evolve into ACTHoma. ACTHoma is a very rare disease, and the mean follow-up time was 28.3 months.

Farshad Mostafaei - One of the best experts on this subject based on the ideXlab platform.

Steven M Strasberg - One of the best experts on this subject based on the ideXlab platform.

  • single institution results of radical antegrade modular pancreatosplenectomy for adenocarcinoma of the body and Tail of Pancreas in 78 patients
    Journal of Hepato-biliary-pancreatic Sciences, 2016
    Co-Authors: Julie G Grossman, Ryan C Fields, William G Hawkins, Steven M Strasberg
    Abstract:

    Background The purpose of this report is to present results of the radical antegrade modular pancreatosplenectomy (RAMPS) procedure in 78 patients from a single center. Methods Seventy-eight patients had RAMPS procedure over 13 years. A database dealing with RAMPS for adenocarcinoma of the Pancreas was constructed so that it could be converted into a set of tables. Each table covered one element of the subject. The database was populated from clinical records of patients who had a RAMPS procedure from 1999 to 2013. Results Fifty-six patients had anterior RAMPS and 22 had posterior RAMPS. Negative tangential margins were obtained in 94% of specimens. Overall the R0 rate was 85%. Mean lymph node count was 20. There were no 30-day or in-hospital mortalities but two patients died within 90 days. Pancreatic fistula and need for postoperative transfusion were the most common complications. Median survival was 24.6 months and 5-year overall actuarial survival was 25.1%. Conclusions The RAMPS technique resulted in high negative tangential margin rates and good lymph node retrieval. The long-term survival result in 78 patients is probably an accurate reflection of what is possible with this tumor using this technique at this time.