Whipple complication

Complications of Whipple Operation By Ri 林帛賢

Reference ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Allen Oldfather Whipple (1881-1963) ,[object Object],[object Object],[object Object],[object Object]

[object Object],Classic Whipple Resection— Pancreatico-duodenectomy

Modified Whipple operation —PPPD ,[object Object]

[object Object],[object Object],

[object Object],[object Object],[object Object],

Classic Whipple V.S. PPPD ,[object Object],[object Object]

Principle Indications for PD ,[object Object],[object Object],[object Object],[object Object],[object Object]

Results following Pancreaticoduodenectomy ,[object Object],[object Object],[object Object],[object Object]

Complications of Pancreaticoduodenectomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pancreatic Fistulas and Leakage of the Pancreaticointestinal Anastomosis ,[object Object],[object Object],[object Object],[object Object]

Risk Factors of Pancreatic Fistulas and Leakage of the Pancreaticointestinal Anastomosis ,[object Object],[object Object],[object Object],[object Object]

Supportive Evidence ,[object Object],[object Object],[object Object],[object Object],[object Object]

Supportive Evidence ,[object Object],[object Object]

Best surgical prevention of postoperative complication ,[object Object],[object Object],[object Object],[object Object]

4.Pancreatic ductal occlusion or drainage ,[object Object],[object Object],[object Object],[object Object],[object Object]

5. others ,[object Object],[object Object],[object Object]

Detection of Pancreatic Fistulas and Anastomosis Leakage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Pancreatic Fistulas and Leakage ,[object Object],[object Object],[object Object],[object Object]

Management of Pancreatic Fistulas and Leakage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Intraabdominal Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management of Intraabdominal Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]

Hemorrhage ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Bleeding within 24 hr ,[object Object],[object Object],[object Object],[object Object],[object Object]

Bleeding in the later course ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

D/D Stress Ulcer ,[object Object],[object Object],[object Object]

Prevention of Hemorrhage ,[object Object],[object Object]

Delayed Gastric Emptying ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Delay Gastric Emptying ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Mechanism of Delay Gastric Emptying ,[object Object],[object Object],[object Object],[object Object]

Management of Delay Gastric Emptying ,[object Object],[object Object],[object Object],[object Object],[object Object]

Pancreatogenic Diabetes ,[object Object],[object Object],[object Object],[object Object],[object Object]

Any Adulthood Childhood or adolescence Typical age of onset Low High High PP levels Low Normal or high Normal or high Glucagon levels Low High Low Insulin levels Decreased Normal or decreased Normal Hepatic insulin sensitivity Increased Decreased Normal or increased Peripheral insulin sensitivity Common Rare Common Hypoglycemia Mild Usually mild Severe Hyperglycemia Rare Rare Common Ketoacidosis Type III pancreatogenic Postoperative onset Type II NIDDM Adult onset Type I IDDM Juvenile onset Parameter

Pancreatic exocrine Insufficiency ,[object Object],[object Object],[object Object]

Wound Infection ,[object Object],[object Object],[object Object],[object Object],[object Object]

Whipple complication

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Whipple complication