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  • Pseudopapillary Solid Neopl...
    Sánchez-Morales, Germán E.; Clemente-Gutiérrez, Uriel E.; Carrillo-Córdova, Dulce M.; Bandín-Musa, Alfonso; Núñez, Carlos Chan; Domínguez-Rosado, Ismael

    The American surgeon, 12/2018, Letnik: 84, Številka: 12
    Journal Article

    Abdominal pain was the most frequent symptom in 72.7 per cent of cases, followed by early satiety in 18.2 per cent and weight loss in 15.2 per cent; other referred symptoms include jaundice, fever, nausea or vomiting, and bleeding from the upper gastrointestinal tract. Considering the short-term complications, defined as complications within the first 30 postoperative days, the most frequently observed scenario was intra-abdominal sepsis in eight patients (24.2%); however, other complications include delay in gastric emptying, infection of the surgical wound, and pancreatic fistula, of the latter, no case required surgical treatment and one case was associated with abdominal sepsis; regarding longterm complications, the development of diabetes mellitus was the complication most frequently observed in 27.3 per cent of patients followed by intestinal malabsorption in 21.2 per cent. Complete surgical resection is currently the treatment of choice for SPN, and pancreatoduodenectomy and distal pancreatic resections are the most used procedures, in our institute they represent more than 50 per cent of surgeries performed, procedures associated with long-term complications, mainly the development of diabetes mellitus and intestinal malabsorption.