Distal Pancreatectomy

1. Describe the anatomic location of the pancreas relative to the other organs in the upper portion of the abdominal cavity. - The pancreas is about 6 inches long and sits across the back of the abdomen, behind the stomach and liver, leveled with the top of the small intestine and it also borders the liver, spleen and kidneys. The head of the pancreas is on the right side of the abdomen and is connected to the duodenum (the first section of the small intestine) through a small tube called the pancreatic duct. The narrow end of the pancreas, called the tail, extends to the left side of the body.

It is worth noting that Ms. [Name] is requiring a substantial amounts of pain medication. She was discharged from [Place] 2 months ago, on a fentanyl patch (100 mcg) and Dilaudid 20 mg p.o. q.4-6 for pain. She now has be able to taper down to 12 mg every 6 hours of Dilaudid while maintaining the fentanyl patch. This is certainly a substantial amounts of medication and is 1 of the reasons to prompt referral a to Dr. [Name]. It may seem that the total pancreatectomy is a significant intervention at this point in time, but after accomplishing a pancreatic drainage and _____(trying) pancreatic rest, there is not much more that we can do. The only other alternative would be to put her into a chronic pain management type

The pancreas and the gall bladder are two of the most important organs of the digestive system. Together they help with the digestion process. The pancreas and the gall bladder work together with different functions, the gallbladder stores bile that comes from the liver so that it can be used for meals later on and the pancreas produces pancreatic juice that contains digestive enzymes that help break down food. In order to maintain the body stable and healthy, we need the help of the gallbladder and pancreas to function correctly. Which is why, we, as humans should take care of our organs. ( Tim Taylor, Pancreas and Gall Bladder)

Pancreatic Cancer is cancer of an organ in the human body called the pancreas, which is located behind the lower part of the stomach. The function of this organ is to secrete certain essential enzymes to digest food and also secrete hormones to metabolize sugars such as insulin and glucagon (Mayoclinic). People get pancreatic cancer when the cells of the pancreas develop genetic mutations; and these can form in both the exocrine and endocrine cells of the pancreas, but exocrine tumors are more common than endocrine tumors. Because this cancer spreads very quickly throughout the body and the symptoms of the disease don’t usually appear until the cancer is at an advanced stage, it is a leading cause of death

According to Swales, a discourse community is made up of individuals who share a set of common public goals, has mechanisms of intercommunication among its members, uses its participatory mechanisms primarily to provide information and feedback, has and uses one or more genres that help the community achieve its goals, has acquired some specific lexis, and has a reasonable ratio of novices and experts (220-222.). Even though that may seem like a large number of requirements in order to be defined as a discourse community, it truly is not. Everyone in this world belongs to at least one discourse community, while others belong to multiple communities. I decided to look at the Type 1 diabetes discourse community, because it is a community I am personally a part of.

‘Pancreas man’ was born in the land of digestiva where he and his family lived since the dawn of time. Until one day, DR.GLUCOSE, the pancreases arch enemy, was spotted strolling down Liver Lane. He had his full army along his side, way too much glucose for the pancreases and livers to turn into glycogen. They were unprepared, they were scared, but one pancreas was ready to fight. That was the infamous ‘Pancreas man’ father, Colonel pancreas. Unfortunately, Colonel pancreas could not take any more glucose, he didn’t make it through the battle. The powerful ‘Pancreas Man’ lives today to spread insulin and fight the constant battle against DR.GLUCOSE. . . Pancreas mans family was devastated after their father's death. Pancreas man's,

Pancreatic cancer is the cancer that appears quickly and many die just as quick. Pancreatic cancer is the least known cancer to the medical world; puzzling doctors because most are not sure what diagnosis to look for. However, the risk factors include smoking, diabetes, and obesity. Studies show that pancreatic cancer has a higher percentage in the African American community due to environmental risk factors (John Hopkins Pathology, 2012).

Pancreatic carcinoma (P.C) is a malignant disease of the pancreas and one of the top ten leading causes of cancer deaths in the UK. This type of cancer is one of the few which has shown a small improvement in the survival rate. On average, the age at which patients are diagnosed with such disease is at 71 years of age and with a minimum of 40 years old in rare accounts. Whilst the risk of developing such disease is greater in developed than developing countries, various factors either lifestyle factors or hereditary can metamorphose into risk factors and become cancer causing. The pathophysiology of this type of cancer is complex and involves modification of the DNA by various ways such as point mutation, indels, gene rearrangement and more. Early diagnosis of pancreatic cancer is difficult as it is an organ found quite deep in the body so any anomalies co go unnoticed during routine examinations. The incidence aswell as the mortality of

A case of pancreatic adenocarcinoma diagnosed following work up for eosinophilia is reported. A 68 year old female was referred to our Hematology clinic for an absolute eosinophil count of 1869 per microliter. No allergic signs or symptoms were reported. Laboratory studies for parasitic infestations autoimmune disease and collagen vascular disease were negative. Computed Tomography of the abdomen revealed a mass in the neck of the pancreas with biopsy consistent with adenocarcinoma. The patient received one cycle of modified FOLFIRINOX with complete resolution of eosinophilia. There are rare case reports of tumor associated blood eosinophilia in sold malignancies. The finding may be indicative of rapid disease progression and poor

The name pancreas was coined by Rufus of Ephesus (circa 100 A.D.) from the Greek word pan: all and kreas: flesh or meat. It was so named because of its uniform composition and consistency and lack of bone or cartilage (Bhandari, 2008).

Las Vegas can be an escape from stressful life, and a vacation from all the worries and problems that plagues the people of America. Many people come to Vegas seeking untold riches every day, though looking for this American dream can come at an expensive cost. Hunter S. Thompson paid this price the hard way and even then did not achieve the American dream he was searching for. In Thompson’s novel Fear and Loathing in Las Vegas, Thompson explains that drugs will change people even turn best friends against each other and those drugs can make any person temporarily satisfied, but will never allow one to fully achieve the happiness that the American dream promises through allusions and symbolism. Hunter S. Thompson was born on July 18, 1937

The surgeon was accustomed to use superior-anterior approach [10], because the splenic artery is relatively fixed, and it is easy to control bleeding after the separation and isolation. However, for the obese patients and the inflamed pancreas, there is risk of splenic artery injury due to obscurity between spleen artery and celiac trunk, or sometimes during anatomical variations of splenic artery. Moreover, some surgeons’ uses lateral approach [11], where dissection of the pancreas is commenced from the pancreatic tail and medially toward the pancreatic head. This approach does not expose the superior mesenteric vein. For the tumor near the tail of the pancreas, the free length of the splenic vessels is relatively short. However, we routinely carry dissection from medial to lateral in respect to vascular anatomy, for two reasons: (1) In obese patients, demarcation between pancreatic tail and splenic hilar is unclear due to excess fat (2) splenic hilar region may have anatomical variations of splenic vessels and its branches, and thus may easily lead to injury of the vessels, leading to operation difficulty or further failure to preserve the

Traumatic injury is a major contributor to total global burden of disease, and has a serious impact on health and quality of life. Each year in the US, approximately 2.5 million individuals incur injuries so severe that they require acute care hospital admissions (Bonnie et al., 1999). Richmond et al. (2002) found that 90% of a sample of seriously injured older adults survived, which indicates that outcomes beyond survival—such as acute stress reactions and the potential to develop PTSD must be evaluated and addressed for this patient population in the clinical setting. Adults who sustain serious injuries may experience acute stress reactions immediately following the event, and during and after inpatient hospitalization, and

Edgar Allan Poe and Henry David Thoreau were two very different authors, one was a mastermind of Gothic literature, while the other was a transcendentalist. One can understand Poe’s knack for stories like The Fall of the House of Usher because of his unprivileged childhood. His father deserted his family, and his mother died while Poe was very young (Wiggins 288). He also lived through constant poverty and suffered from depression, his only refuge being his wife, Virginia, who died when she was only 24 (Wiggins 289). The work that will be used in this essay is The Fall of the House of Usher, which really touches upon Poe’s style of writing. It’s use of an extremely dark setting and the way it’s characters are portrayed really help

It hasn’t been until just recently where biomechanical engineers have gotten close to doing just that. With the idea of the artificial pancreas being a dream just a couple years ago, the dream is becoming a reality right in front of us. The diabetes community is coming together to rejoice the artificial pancreas, which some companies are just months away from completing the loop of the system. With complicated algorithms and precise readings of blood glucose levels, the bionic pancreas looks as if it will have only positive effects. However, there is always a chance for this 21st century advancement to fail. Failure to proceed correct readings and appropriate dosage of insulin or glucagon could result in fatal complications and even death. Although a very slim chance of these failures to happen, there is always a possibility, but studies and research is looking very positive. The FDA has approved many products already, but most are still waiting to be furnished and made better. The artificial pancreas is an advancement that will change the medical field, both professional and patient, for centuries to