SMJ articles in the category "pancreatic cancer"

Original Article

Risk Factors and Surgical Outcomes of Older Adult Patients Undergoing a Whipple Procedure

Objectives: The Whipple procedure, or pancreatoduodenectomy with pancreatojejunostomy, can result in adverse outcomes among older adult patients with lower physiological reserves. As such, we studied the differences in comorbidities and postoperative outcomes between older adult and younger (nonolder adult) populations following Whipple procedures. Methods: We compared clinical factors of 1553…

Posted in: pancreatic cancer 6 surgery 23

Original Article

Pancreatic Cancer Survival Outcomes at a Tertiary Medical Center Based on Sex and Geographic Location

Objectives: To describe the survival outcomes of patients with histologically proven primary pancreatic cancer based on geographic location and sex. Methods: We conducted a retrospective review of medical records from 2009 through 2013 of patients with pancreatic cancer using International Classification of Diseases, Ninth Revision code 157.9 and International Statistical…

Posted in: gender 7 pancreatic cancer 6

Review Article

Autoimmune Pancreatitis: A Diagnostic Challenge for the Clinician

Autoimmune pancreatitis (AIP) is a rare cause of chronic pancreatitis that poses a diagnostic challenge to the clinician in that it mimics pancreatic cancer and presents with painless obstructive jaundice. In this review, we discuss the two types of AIP: type 1, known as lymphoplasmacytic sclerosing pancreatitis and type 2,…

Posted in: autoimmune 2 Diagnosis 17 pancreatic cancer 6 pancreatitis 16

Review Article

Investigational Biomarkers for Pancreatic Adenocarcinoma: Where Do We Stand?

Although the outcomes for pancreatic ductal adenocarcinoma (PDAC) remain disappointing, there has been considerable improvement in the 5-year survival rate of patients with resectable disease. As such, an R0 surgical resection (microscopic tumor clearance) offers patients with PDAC the greatest survival benefit. Carbohydrate antigen 19-9, the only US Food and…

Posted in: biomarkers 4 pancreatic cancer 6

Review Article

Advances in the Endoscopic Management of Patients with Pancreatic and Biliary Malignancies

Major advances in endoscopic techniques to diagnose and manage pancreatic biliary diseases have fundamentally changed the approach to these difficult clinical challenges. The diagnosis of benign and malignant pancreatic-biliary diseases is much more readily obtained through a combination of cross-sectional imaging and endoscopic procedures. Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic…

Posted in: cholangiocarcinoma 2 endoscopic ultrasound 5 pancreatic cancer 6

Case Report

Patient with Markedly Elevated CA 19-9 Not Associated with Malignancy

A 66-year-old white male presented with jaundice, pruritus, and a 30-pound weight loss over two months. Physical examination revealed scleral icterus. Laboratory evaluation revealed ALT 161 U/L, AST 290 U/L, alkaline phosphatase 2004 U/L, GGT 2,552 U/L, total bilirubin 10.2 mg/dL, and a carbohydrate antigen 19-9 (CA 19-9) level of…

Posted in: pancreatic cancer 6
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