Dissertation > Excellent graduate degree dissertation topics show

Etiology, Pathology Management and Prognosis of Chronic Pancreatitis in Chinese Population; A Retrospective Study

Author: M Soriba Naby Camara
Tutor: Wang Chun You
School: Huazhong University of Science and Technology
Course: Pancreatic surgery
Keywords: chronic pancreatitis etiology pathological characteristics management prognosis Chinese population
CLC: R657.51
Type: Master's thesis
Year: 2012
Downloads: 6
Quote: 0
Read: Download Dissertation


AimThis study aimed at investigating the etiology, pathological characteristics,management and prognosis of chronic pancreatitis in the Chinese population.142patients with chronic pancreatitis were recruited in Union Hospital betweenJanuary2008and December2011. The age ranged from14to76years (average43). The etiology, pathology, management and prognosis of these patients wereretrospectively analyzed.ResultsThe etiology data showed that most of the patients were obstructive chronicpancreatitis,72(50.70%), while the others were alcoholic CP,20(14.08%),autoimmune CP14(9.86%) and idiopathic CP36(25.35%). The average diameterof the inflammatory mass was3.8±3.3cm (mass range2.8cm to4.8cm). CA19-9was significantly increased in27patients (during intraoperative frozen section7patients were found to have pancreatic cancer). Ninety four patients weremanaged surgically,34patients by endoscopic sphincterotomy and14patientsconservatively. The duodenum preserving total pancreatic head resection withoutresection of segment of duodenum was performed in42patients. Berg’sprocedure was performed in25patients; Whipple’s were performed in7patients,cystojejunostomy in18patients and caudal pancreaticojejunostomy in2patients.No patient dead after operation. Operational complications of pancreatic fistula, abdominal bleeding, wound dehiscence, bile leakage and duodenum fistulaoccurred in3cases,4cases,2cases,2and1case, respectively. Pain relief wasachieved in76patients. Recurrence of pain was seen in17patients. Postoperative weight gain was observed in all94patients.ConclusionPancreatic duct obstruction remains the most common cause for CP in Chinesepopulation. The duodenum preserving total pancreatic head resection isappropriate treatment for CP complicated with inflammatory mass. The increasein CA19-9is a high risk for chronic pancreatitis to become pancreatic cancer.

Related Dissertations

  1. Empirical Study on the Top Management Turnover and Performance of Listed Companies in China,F224
  2. An Empirical Study of Contemporary Compehensive Urban Design in China,TU984
  3. Real-Time Power-Stealing Monitoring and Arrear Management System,TM73
  4. Study on System of Electronic Documetnt Security Signature,TN918.2
  5. The Technologies for Interoperability of Heterogeneous Enterprise Applications and Their Application in Material SCM,TP311.52
  6. The Software Component Modeling Method Based on Feature and Its Application in VMI Management System,TP311.52
  7. Research on Transparent Security of JPEG Image,TP391.41
  8. The Development of Soft System for Power Load Management Terminal Testing Device,TP311.52
  9. The Research and Design of Middle-Small Enterprises Purchase-Sales-Inventory Management System,TP311.52
  10. Logistics Management System Supporting Product and Material Tracing and Tracking,TP311.52
  11. Design and Simulation of Flight Management Computer System CDU Unit in Flight Simulation,TP391.9
  12. Multiple Pairwise Keys Management Protocol of Function Node-Based for Wireless Sensor Networks,TP212.9
  13. Study on Green Supply Chain Management Based on Stakeholders Theory,F274
  14. Study on Development Risk Analysis and Management of Urban Commercial Residence,F293.35
  15. Design and Implementation of the teaching file management system,TP311.52
  16. Force Online Examination System Design and Implementation,TP311.52
  17. XD upholstered furniture business strategy,F272
  18. A Study on Food Safety and Health Integrated Management System,TS201.6
  19. Crack the problems of the urban fringe of the dual management system,D630
  20. Study on Student Management of Rural Boarding School in China,G471
  21. The Research on Mixed-age Regional Activities Management of Kindergarten,G617

CLC: > Medicine, health > Surgery > Of surgery > Abdominal surgery > Pancreas > Pancreatitis
© 2012 www.DissertationTopic.Net  Mobile