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Robot Assisted Distal Pancreatectomy with Celiac Axis Resection DP-CAR for Pancreatic Cancer: Surgical Planning and Technique
Published on: August 14, 2021
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Celiac disease and the surgeon.
Jon S Thompson1, Peter Mannon2
1Department of Surgery, University of Nebraska Medical Center, Omaha, NE, USA.
American Journal of Surgery
|February 28, 2022
Summary
Celiac disease (CD) presents varied symptoms and is often missed by surgeons. Awareness of CD-related conditions and potential post-operative symptoms is crucial for diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Celiac disease (CD) involves intestinal inflammation and villus atrophy.
- CD has diverse clinical presentations and is increasingly diagnosed, yet often remains undiagnosed in surgical patients.
Purpose of the Study:
- To review celiac disease aspects pertinent to surgical practice.
- To enhance surgeon awareness of celiac disease and its surgical implications.
Main Methods:
- A literature search of the PubMed database was conducted.
- Articles published between January 2000 and December 2021 focusing on surgical issues in CD were reviewed.
Main Results:
- Celiac disease is linked to various gastrointestinal conditions and an elevated risk of malignancies, including small intestinal tumors.
- Patients with CD face increased risks for common surgical procedures like appendicitis.
- Undiagnosed CD can manifest post-operatively, leading to diagnosis after surgery.
Conclusions:
- Surgeons must recognize CD-associated conditions, malignancy risks, and confounding symptoms.
- Post-operative development of malabsorptive symptoms warrants suspicion for undiagnosed celiac disease.
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