Academic Journal
Diagnosis and Therapeutic Management of Cystic Dystrophy of the Duodenal Wall in Heterotopic Pancreas.
| العنوان: | Diagnosis and Therapeutic Management of Cystic Dystrophy of the Duodenal Wall in Heterotopic Pancreas. |
|---|---|
| المؤلفون: | Vincenzo Napolitano, Luca Magno, Giorgio Diamantis, Gerardo Nardone, Marika Bruno, Carmine Mollica, Giovanni Persico |
| المساهمون: | The Pennsylvania State University CiteSeerX Archives |
| المصدر: | http://www.joplink.net/prev/200811/200811_02.pdf. |
| المجموعة: | CiteSeerX |
| الوصف: | Context Cystic dystrophy in heterotopic pancreas is a rare and serious condition. Diagnosis is difficult because of non-specific clinical manifestations and radiologic and endoscopic imaging are pivotal. Therapeutic management is still under debate. Case report We describe a case of cystic dystrophy of the duodenal wall in heterotopic pancreas complicated with chronic pancreatitis and pancreatic cystadenoma. Discussion Computed tomography and magnetic resonance are very useful in demonstrating the presence of cysts in a thickened duodenal wall but, for the most part, endoscopic ultrasonography is the most useful imaging examination. The choice of different therapeutic options is still under debate; although some authors have proposed a medical approach using octreotide or endoscopic treatment for selected patients, a pancreaticoduodenectomy is usually proposed for symptomatic patients. Conclusion When surgery is needed, a pancreaticoduodenectomy is preferred, reserving by-pass procedures for high risk patients. Because of the non-specific clinical manifestation and the very difficult diagnosis and therapeutic management, these patients should be studied and treated in specialized and dedicated centers. |
| نوع الوثيقة: | text |
| وصف الملف: | application/pdf |
| اللغة: | English |
| Relation: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.624.2901; http://www.joplink.net/prev/200811/200811_02.pdf |
| الاتاحة: | http://citeseerx.ist.psu.edu/viewdoc/summary?doi=10.1.1.624.2901 http://www.joplink.net/prev/200811/200811_02.pdf |
| Rights: | Metadata may be used without restrictions as long as the oai identifier remains attached to it. |
| رقم الانضمام: | edsbas.B7FA71CC |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |