Total duodenopancreatectomy: the role of a multidisciplinary team approach in successful treatment. Case report
- 作者: Shabunin A.1,2, Ametov A.1,2, Tavobilov M.1,2, Pashkova E.1,2, Karpov A.1, Lantsynova A.1, Венгерова Э.1,2, Polivtseva A.1,2, Rumer V.1
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隶属关系:
- Botkin City Clinical Hospital
- Russian Medical Academy of Continuous Professional Education
- 期: 卷 96, 编号 2 (2024)
- 页面: 147-152
- 栏目: Clinical notes
- URL: https://journals.rcsi.science/0040-3660/article/view/254712
- DOI: https://doi.org/10.26442/00403660.2024.02.202581
- ID: 254712
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In order to identify and correct concomitant diseases all patients undergo a comprehensive examination before surgical treatment. Rare concomitant diseases include primary chronic adrenal insufficiency. This clinical case presents the total duodenopancreatectomy in a patient with primary chronic adrenal insufficiency. Available algorithms are not always suitable in the treatment of such patients after surgical interventions, especially long-term and extensive. It is necessary to focus on laboratory parameters and the clinical picture. An individual and multidisciplinary approach to the treatment of patients with comorbid pathologies is important.
作者简介
Alexey Shabunin
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
Email: parlodel@mail.ru
ORCID iD: 0000-0002-4230-8033
акад. РАН, д-р мед. наук, проф., глав. врач ГБУЗ «ГКБ им. С.П. Боткина», зав. каф. хирургии ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowAlexandr Ametov
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
Email: parlodel@mail.ru
ORCID iD: 0000-0002-7936-7619
д-р мед. наук, проф., науч. рук. отд-ния эндокринологии ГБУЗ «ГКБ им. С.П. Боткина», зав. каф. эндокринологии, зав. сетевой каф. ЮНЕСКО по теме «Биоэтика сахарного диабета как глобальная проблема» ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowMikhail Tavobilov
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
Email: parlodel@mail.ru
ORCID iD: 0000-0003-0335-1204
д-р мед. наук, зав. отд-нием хирургии печени и поджелудочной железы ГБУЗ «ГКБ им. С.П. Боткина», проф. каф. хирургии ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowEvgeniya Pashkova
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
编辑信件的主要联系方式.
Email: parlodel@mail.ru
ORCID iD: 0000-0003-1949-914X
канд. мед. наук, ст. науч. сотр., зав. отд-нием эндокринологии ГБУЗ «ГКБ им. С.П. Боткина», доц. каф. эндокринологии ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowAlexey Karpov
Botkin City Clinical Hospital
Email: parlodel@mail.ru
ORCID iD: 0000-0002-5142-1302
канд. мед. наук, ст. науч. сотр., врач-хирург отд-ния хирургии печени и поджелудочной железы
俄罗斯联邦, MoscowAysa Lantsynova
Botkin City Clinical Hospital
Email: parlodel@mail.ru
ORCID iD: 0000-0002-9461-6791
мл. науч. сотр., врач-хирург отд-ния хирургии печени и поджелудочной железы
俄罗斯联邦, MoscowЭлина Венгерова
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
Email: parlodel@mail.ru
ORCID iD: 0009-0009-8649-0656
врач-эндокринолог отд-ния эндокринологии ГБУЗ «ГКБ им. С.П. Боткина», каф. эндокринологии ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowAnastasiya Polivtseva
Botkin City Clinical Hospital; Russian Medical Academy of Continuous Professional Education
Email: parlodel@mail.ru
ORCID iD: 0009-0003-9427-8416
врач-ординатор отд-ния эндокринологии ГБУЗ «ГКБ им. С.П. Боткина», каф. эндокринологии ФГБОУ ДПО РМАНПО
俄罗斯联邦, Moscow; MoscowVeronica Rumer
Botkin City Clinical Hospital
Email: parlodel@mail.ru
ORCID iD: 0000-0002-2803-470X
врач-рентгенолог отд. лучевой диагностики
俄罗斯联邦, Moscow参考
- Hart PA, Bellin MD, Andersen DK, et al. Type 3c (pancreatogenic) diabetes mellitus secondary to chronic pancreatitis and pancreatic cancer. Lancet Gastroenterol Hepatol. 2016;1(3):226-37. doi: 10.1016/S2468-1253(16)30106-6
- Nagtegaal ID, Odze RD, Klimstra D, et al. The 2019 WHO classification of tumours of the digestive system. Histopathology. 2020;76(2):182-8. doi: 10.1111/his.13975
- Jang JY, Kim SW, Ahn YJ, et al. Multicenter analysis of clinicopathologic features of intraductal papillary mucinous tumor of the pancreas: is it possible to predict the malignancy before surgery? Ann of Surg Oncol. 2005;12:124-32. doi: 10.1245/ASO.2005.02.030
- Johnston WC, Hoen HM, Cassera MA, et al. Total pancreatectomy for pancreatic ductal adenocarcinoma: Review of the national cancer data base. HPB (Oxford). 2016;18(1):21-8. doi: 10.1016/j.hpb.2015.07.009
- Stoop TF, Ateeb Z, Ghorbani P, et al. Surgical outcomes after total pancreatectomy: A high-volume center experience. Ann Surg Oncol. 2021;28(3):1543-51. doi: 10.1245/s10434-020-08957-x
- Loos M, Al-Saeedi M, Hinz U, et al. Categorization of differing types of total pancreatectomy. JAMA Surg. 2022;157(2):120-8. doi: 10.1001/jamasurg.2021.5834
- Stoop TF, Ghorbani P, Scholten L, et al. Total pancreatectomy as an alternative to high-risk pancreatojejunostomy after pancreatoduodenectomy: A propensity score analysis on surgical outcome and quality of life. HPB (Oxford). 2022;24(8):1261-70. doi: 10.1016/j.hpb.2021.12.018
- Scholten L, Stoop TF, Del Chiaro M, et al. Systematic review of functional outcome and quality of life after total pancreatectomy. Br J Surg. 2019;106(13):1735-46. doi: 10.1002/bjs.11296
- Maker AV, Sheikh R, Bhagia V. Diabetes Control and Complications Trial (DCCT) Research Group. Perioperative management of endocrine insufficiency after total pancreatectomy for neoplasia. Langenbecks Arch Surg. 2017;402(6):873-83. doi: 10.1007/s00423-017-1603-8
- Lund A, Bagger JI, Wewer Albrechtsen NJ, et al. Evidence of extrapancreatic glucagon secretion in man. Diabetes. 2016;65(3):585-97. doi: 10.2337/db15-1541
- Sun EW, Martin AM, de Fontgalland D, et al. Evidence for glucagon secretion and function within the human gut. Endocrinology. 2021;162(4):bqab022. doi: 10.1210/endocr/bqab022
- Lund A. On the role of the gut in diabetic hyperglucagonaemia. Dan Med J. 2017;64(4):B5340.
- Shi H, Jin C, Fu D. Impact of postoperative glycemic control and nutritional status on clinical outcomes after total pancreatectomy. World J Gastroenterol. 2017;23(2):265-74. doi: 10.3748/wjg.v23.i2.265
- Scholten L, Latenstein AEJ, van Eijck C, et al. Outcome and long-term quality of life after total pancreatectomy (Panorama): A nationwide cohort study. Surgery. 2019;166(6):1017-26. doi: 10.1016/j.surg.2019.07.025
- Мельниченко Г.А., Трошина Е.А., Юкина М.Ю., и др. Клинические рекомендации Российской ассоциации эндокринологов по диагностике и лечению первичной надпочечниковой недостаточности у взрослых пациентов (проект). Consilium Medicum. 2017;19(4):8-19 [Melnichenko GA, Troshina EA, Yukina MYu, et al. Diagnosis and treatment of primary adrenal insufficiency in adult: a Russian Association of Endocrinology Clinical Practice Guideline (project). Consilium Medicum. 2017;19(4):8-19 (in Russian)].
- Дедов И.И., Мельниченко Г.А., Фадеев В.В. Клинические рекомендации. Первичная надпочечниковая недостаточность. М. 2021; c. 32-4 [Dedov II, Mel'nichenko GA, Fadeev VV. Klinicheskie rekomendatsii. Pervichnaia nadpochechnikovaia nedostatochnost. Moscow. 2021; p. 32-4 (in Russian)].