Whipple procedure

For a resectable mass located in the head of the pancreas, pancreatoduodenectomy (Whipple procedure) is considered the standard of care (43). This operation involves the... 

SEVERE Major cardiothoracic surgery Whipple procedure Liver resection Pancreatitis 100-150 mg of hydrocortisone (or 20-30 mg of methyl- prednisolone) IV on day of procedure Rapid taper over 1-2 days to usual replacement dose... 

The client diagnosed with cancer of the head of the pancreas has had a Whipple procedure (pancreatoduodenectomy). Which discharge instructions should the nurse teach the client ... 

Placebo-controlled trial A randomised, placebo-controlled trial (N = 67) of preoperative somatostatin administration for the prevention of postoperative complications following the Whipple procedure found no evidence of improved efficacy with preoperative administration [70 ]. Three patients experienced mild side effects (nausea and vomiting) that may have been related to somatostatin treatment. The effects of the operation made it difficult to identify and properly assess side effects of somatostatin administration. 

A. Alcaraz, S.S. Hulsey, R.E. Whipple and B.D. Andresen, On-site sample work-up procedures to isolate chemical warfare related compounds using solid phase extraction and solid phase microextraction technology, NATO ASI Ser. Ser. 1, 13, 65-76 (1997). 

The classical form is the portacaval end-to-side anastomosis (lat-erolateral), applied for the first time in a dog by N.W von Eck in 1877. Nevertheless, this was still a long way from clinical applicability. Not until 1901 was a clinical attempt made by R. Lenoir, yet without success. A renewed attempt to use this (end-to-side) shunt procedure undertaken by M. Vidal (1903) proved to be satisfactory. The first successful portacaval (side-to-side) anastomosis was reported by R Rosenstein in 1912. Extensive clinical use of the portacaval shunt was encouraged by the studies of A.O. Whipple and A.H. Blakemore (1945). The following years saw the development of a large munber of varying shunt techniques and their modifications, (s. tab. 19.7)... 

Estimated according to the additivity procedure of Chiang and Whipple. ... 

Although wet chemical techniques are the methods of choice for high precision results when abundant, homogeneous samples are available, opinions about optimal procedures vary (Whipple 1968) and the majority of wet chemical analyses of micas have already been reviewed thoroughly by Foster (1960, 1964). An excellent overview of the Pratt and Wilson wet chemical methods, showing the former method to be more accurate when compared to Mossbauer results, is given in Lalonde et al. (1998). 

Infectious complications are rare however, they are promoted if the patient is predisposed by an underlying infectious process, a compromised immune system, as in diabetes, or especially in hepatic ablation when biliary enteric communication is present. Patients who underwent a Whipple s procedure, for example, are jeopardized by colonization of the biliary tract by ascending infections and abscess formation within the ablation volume (de Baere et al. 2003 Elias et al. 2006 Kvitting et al. 2006). A delayed onset of infection or abscess formation is typically what makes any persistent or recurrent fever in the 2-3 weeks after RFA highly equivocal. Additionally, there seems to be an increased risk for infection also in patients who have had previous lipiodol embolization for HCC. Overall, the risk of infection is about 1.5% (Shibata et al. 2003 Choi et al. 2005). 

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