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Subject:
surgery of spleen
Category: Health Asked by: mjandalimd-ga List Price: $2.00 |
Posted:
24 Aug 2002 07:58 PDT
Expires: 23 Sep 2002 07:58 PDT Question ID: 58086 |
mangement of spleenectomy complication, for an example aperson uderwent spleenectomy developed panceatic leak I am interested in mangement of the leak. |
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Subject:
Re: surgery of spleen
Answered By: nealc-ga on 04 Sep 2002 06:21 PDT |
Hello mjandalimd-ga, After searching the web over I have found an answer to your question. If the person had laparoscopic removal of the spleen then one study has shown a relatively common complication of this procedure is injury to the pancreas. The article is available online at the following url. In this article they suggest delaying eating for several days and keeping the patient in the hospital for observation. http://link.springer-ny.com/link/service/journals/00464/contents/00/80054/paper/body.html At the WebMD website they mention that trauma to the pancreas as a result of surgery can cause pancreatitis. It sounds like from what you said that this is a case of pancreatitis resulting from trauma to the pancreas. There are basically two types of pancreatitis: acute and chronic. In this case the patient has an acute pancreatitis. The suggested treatment of acute pancreatitis is to keep the patient in the hospital and not let them eat until the swelling of the pancreas goes down. If the pancreatitis is severe then the patient should be in the intensive care unit. Surgery maybe required to repair the damage. However, this is not done very often because the pancreas can very easily be damaged even more during the surgery to repair the pancreas. The following url is the WebMD information on pancreatitis. http://my.webmd.com/content/article/1680.53880 If you want to skip the introductory stuff and go right to treatment of pancreatitis here is the url for treatment from WebMD. http://my.webmd.com/encyclopedia/article/4115.20938 The following search terms were used to find this information: Splenectomy complications, pancreatitis. Hope that helps Nealc-ga |
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Subject:
Re: surgery of spleen
From: surgeon-ga on 13 Sep 2002 21:41 PDT |
most pancreatic leaks, especially those in the "tail" of the pancreas (which is the area adjacent to the spleen) will heal on their own, eventually. Usually all that is required is adequate drainage (either by a tube passed into the area by a radiologist or by surgical placement of a drain), and time. If the leak shows no sign of slowing down, then evaluation of the pancreatic duct is indicated (usually by ERCP -- a procedure done by a gastroenterologist) to make sure there's no blockage in the duct which prevents the juices from flowing away from the injured area. And, despite, the original answer, what you describe is not pancreatitis. |
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