Pancreatectomy

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Intervention: Pancreatectomy
ICD-10 code:
ICD-9 code:	52.5 52.6
MeSH	D010180
Other codes:

Pancreatectomy is a medical term referring to surgical removal of part or all of the pancreas.

Indications

It is performed for a variety of reasons, including:

• Inflammation
  • Necrotising pancreatitis
  • Chronic pancreatitis with pain
• Trauma
• Neoplasms
  • Adenocarcinoma (85%)
  • Cystadenoma (mucinous/serous)
  • Cystadenocarcinoma
  • Islet cell tumors (neuroendocrine tumors)
  • Papillary cystic neoplasms
  • Lymphoma
  • Acinar cell tumors
• Severe hyperinsulinemic hypoglycemia

Types

The most common surgical procedure is called pancreaticoduodenectomy. Among common consequences of complete or nearly complete pancreatectomy are deficiencies of pancreatic endocrine or exocrine function requiring replacement of insulin or digestive enzymes.

v • d • e Digestive system surgical and other procedures
Digestive tract	esophagus: Esophagectomy stomach: Gastrostomy (Percutaneous endoscopic gastrostomy) - Gastrectomy - Gastric bypass surgery - Gastroenterostomy - Nissen fundoplication lower GI: Duodenal switch - Colectomy - Colostomy - Ileostomy - Appendicectomy endoscopy: Esophagogastroduodenoscopy - Colonoscopy - Proctoscopy - Sigmoidoscopy
Accessory	liver: Hepatectomy - Liver transplantation - Artificial extracorporeal liver support (Liver dialysis, Bioartificial liver devices) gallbladder/bile duct: Endoscopic retrograde cholangiopancreatography - Percutaneous transhepatic cholangiography - Cholecystectomy pancreas: Pancreatectomy - Pancreaticoduodenectomy - Pancreas transplantation - Puestow procedure - Frey's procedure
Other	Herniorrhaphy - Laparotomy - Paracentesis

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .