Canis ISSN: 2398-2942

Pancreatectomy

Synonym(s): partial pancreatectomy, total pancreatectomy

Contributor(s): Trevor Bebchuck, Alasdair Hotston Moore

Introduction

  • Partial removal of the pancreas.
    Total pancreatectomy is rarely performed and has ethical implications.
  • Ethical implications: indications limited since adenocarcinoma usually advanced, also metastatic and locally invasive. Following total pancreatectomy, animals are "brittle diabetics" Diabetes mellitus and difficult to stabilize.

Uses

Advantages

  • Primary indication for palliation of insulinoma Pancreas: neoplasia: insulinoma. Medical management usually with corticosteroids Hydrocortisone to promote gluconeogenesis. Usually results in Cushingoid side effects Hyperadrenocorticism eventually. Resection of primary insulinoma palliative but delays initiation of corticosteroid use.

Disadvantages

Requirements

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Preparation

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Procedure

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Aftercare

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Outcomes

This article is available in full to registered subscribers

Sign up now to purchase a 30 day trial, or Login

Prognosis

  • Prognosis for pancreatitis managed surgically is poor.
  • Partial pancreatectomy for insulinoma should be viewed as a palliative procedure.

Further Reading

Publications

Refereed papers

  • Recent references from PubMed and VetMedResource.
  • Leifer C E, Peterson M E, Matus R E et al (1986) Insulin-secreting tumour: diagnosis and medical and surgical management in 55 dogs. JAVMA 188 (1), 60-4 PubMed.

Other sources of information

  • Nelson R W (1995)Insulin secreting islet cell neoplasia.In:Textbook of Veterinary Internal Medicine (2nd Edition).Eds S J Ettinger and E C Feldman. Saunders, Philadelphia.


ADDED