ISSN 2398-2942      

Pancreatectomy

icanis

Synonym(s): partial pancreatectomy, total pancreatectomy


Introduction

  • Partial removal of the pancreas.
    Total pancreatectomy is rarely performed and has ethical implications.
  • Ethical implications: indications limited since adenocarcinoma usually advanced, also metastatic and locally invasive. Following total pancreatectomy, animals are "brittle diabetics" Diabetes mellitus and difficult to stabilize.

Uses

Advantages

  • Primary indication for palliation of insulinoma Pancreas: neoplasia: insulinoma. Medical management usually with corticosteroids Hydrocortisone to promote gluconeogenesis. Usually results in Cushingoid side effects Hyperadrenocorticism eventually. Resection of primary insulinoma palliative but delays initiation of corticosteroid use.

Disadvantages

Requirements

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Preparation

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Procedure

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Aftercare

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Outcomes

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Prognosis

  • Prognosis for pancreatitis managed surgically is poor.
  • Partial pancreatectomy for insulinoma should be viewed as a palliative procedure.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Leifer C E, Peterson M E, Matus R E et al (1986) Insulin-secreting tumour: diagnosis and medical and surgical management in 55 dogs. JAVMA 188 (1), 60-4 PubMed.

Other sources of information

  • Nelson R W (1995)Insulin secreting islet cell neoplasia.In:Textbook of Veterinary Internal Medicine (2nd Edition).Eds S J Ettinger and E C Feldman. Saunders, Philadelphia.

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