Pancreatic cancer secondary prevention: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
(→Pain:) |
||
| Line 14: | Line 14: | ||
==== Pain: ==== | ==== Pain: ==== | ||
* There are various techniques for [[pain]] management as [[Palliative care|palliative therapy]] in patients with advanced stage of [[pancreatic cancer]]: | |||
** [[Narcotic]] [[Analgesic|analgesics]] | |||
** [[Narcotic]] [[Analgesic|analgesics]]+ [[Tricyclic antidepressant|tricyclic antidepressants]]/ [[Antiemetic|antiemetics]] | |||
** [[Radiation therapy]] | |||
* Surgical techniques used to treat [[pain]] in advanced [[pancreatic cancer]] cases include: | * Surgical techniques used to treat [[pain]] in advanced [[pancreatic cancer]] cases include: | ||
Revision as of 19:35, 14 November 2017
|
Pancreatic cancer Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Pancreatic cancer secondary prevention On the Web |
|
American Roentgen Ray Society Images of Pancreatic cancer secondary prevention |
|
Risk calculators and risk factors for Pancreatic cancer secondary prevention |
Diet
- Exocrine pancreatic insufficiency due to pancreatic duct obstruction by the tumor may lead to malabsorption.
- Malabsorption in patients presents with anorexia, weight loss, and diarrhea.
- The diet proposed for pancreatic cancer patients is based on American Cancer Society (ACS) guidelines[1]
- Pancreatic enzyme replacement therapy
- Avoidance of high-protein/high-fat diets
- Individualized dietary prescriptions from a registered dietitian
- Supplementation with omega-3 fatty acids
Palliative Therapy
Pain:
- There are various techniques for pain management as palliative therapy in patients with advanced stage of pancreatic cancer:
- Surgical techniques used to treat pain in advanced pancreatic cancer cases include:
- Endoscopic decompression with stent placement in patients with biliary or pancreatic duct obstruction
- Neurolysis of the celiac ganglia by many approaches:
- Intraoperative
- Transgastric
- Transthoracic
- Transabdominal
Jaundice:
- Obstructive jaundice can present with features of cholangitis:
- Fever and chills
- Nausea, vomiting
- Clay-colored stools
- Dark urine
- Yellowish discoloration of skin
- Pruritus
- Right upper quadrant pain
- Anorexia
- Preferred treatment in patients: Endoscopic decompression with stent placement in patients with biliary obstruction.
- Techniques of biliary decompression:
- Cholecystojejunostomy
- Choledochojejunostomy
- Types of stents:
- Metal- costly, longer lifespan
- Plastic- cheaper, need replacement every three months
Duodenal obstruction
- Preferred treatment:
References
- ↑ Kushi LH, Doyle C, McCullough M, Rock CL, Demark-Wahnefried W, Bandera EV, Gapstur S, Patel AV, Andrews K, Gansler T (2012). "American Cancer Society Guidelines on nutrition and physical activity for cancer prevention: reducing the risk of cancer with healthy food choices and physical activity". CA Cancer J Clin. 62 (1): 30–67. doi:10.3322/caac.20140. PMID 22237782.