18 - Pancreas 2024 (Rush Surgery)

Tail of the pancreas

The most common location of glucagonoma is the _____

Grey Tuner’s sign

____ sign is ecchymosis in the flank area

Cullen’s sign

____ sign is ecchymosis in the periumbilical area

Alcohol

Idiopathic causes are the second most (in the Wester world)

What is the most common cause of chronic pancreatitis?

Duodenoduodenostomy

Another option is duodenojejunostomy

What is the recommended treatment for a duodenal obstruction due to annular pancreas?

Cigarette smoking

What risk factor is firmly connected to pancreatic cancer?

Pancreas divisum

_____ occurs due to a failure of fusion between the pancreatic ducts and can cause pancreatitis

Sepsis

What is the leading cause of death from acute pancreatitis?

Infected pancreatic necrosis

Pancreatic necrosis is a manifestation of severe pancreatitis. When accompanied by infection, it has been associated with a mortality rate that may exceed 40%

What complication of acute pancreatitis has the highest mortality rate?

Nasogastric feeding

Enteral feeding helps maintain the intestinal mucosal barrier and prevent infection from early bacterial translocation and shortens hospital stay. Do note that direct delivery to the jejunum is the ideal route.

What is the preferred nutritional support in patients with severe pancreatitis?

Pain

_____ is the primary indication for surgery in patients with chronic pancreatitis

Endoscopy with EUS

What imaging modality is the most effective in identifying and localizing pancreatic neuroendocrine neoplasms?

Insulinoma

____ is the most common functional neo- plasm of the endocrine pancreas

1. Symptoms of hypoglycemia during fasting

2. Glucose levels < 50 mg/dL

3. Relief of symptoms with exogenous glucose

Components of Whipple's triad:

1.

2.

3.