A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about 20%. What anastomosis was performed? Gallbladder and duodenum united Liver and pancreas connected to the stomach Common bile duct, pancreatic duct, and small intestine all connected together. Stomach and pancreas reconnected
A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice, and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S guidance confirmed an adenocarcinoma of the head of the pancreas. Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple procedure was recommended. This procedure was performed and included pancreatoduodenectomy, choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the operative procedure. During surgery, it was determined that the tumor was confined to the head of the pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about 20%. What anastomosis was performed? Gallbladder and duodenum united Liver and pancreas connected to the stomach Common bile duct, pancreatic duct, and small intestine all connected together. Stomach and pancreas reconnected
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Transcribed Image Text:A 62-year-old man came to the ED (emergency department) with complaints of fatigue, weight loss, jaundice,
and anorexia. Diagnostic studies including abdominal CT with contrast, ERCP, and EUS were performed. The
CT scan showed a resectable 4-cm mass at the head of the pancreas, and ERCP revealed evidence of bile duct
obstruction; a stent was placed to open the duct. Examination of a tissue biopsy specimen obtained under U/S
guidance confirmed an adenocarcinoma of the head of the pancreas.
Additional studies showed no evidence of hepatic or other metastases. Surgical treatment with a Whipple
procedure was recommended. This procedure was performed and included pancreatoduodenectomy,
choledochojejunostomy, and gastrojejunostomy. Lymph node removal and cholecystectomy were part of the
operative procedure. During surgery, it was determined that the tumor was confined to the head of the
pancreas. Despite removal of the tumor, the chance of recurrence is high, with a cure rate of only about 20%.
What anastomosis was performed?
Gallbladder and duodenum united
Liver and pancreas connected to the stomach
Common bile duct, pancreatic duct, and small intestine all connected together.
Stomach and pancreas reconnected
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