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Related Concept Videos

Assessment of the Gastrointestinal System I: Subjective Data01:17

Assessment of the Gastrointestinal System I: Subjective Data

254
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health History
The initial step in assessing the GI system is obtaining a comprehensive health history. This includes inquiring about the patient's history or presence of problems...
254
Assessment of the Gastrointestinal System II: Health Perception Pattern01:29

Assessment of the Gastrointestinal System II: Health Perception Pattern

152
Assessing the gastrointestinal (GI) system is a complex process that begins with collecting subjective data. This data, collected through patient interviews, provides crucial insights into the patient's health history, perception patterns, and lifestyle habits, all contributing significantly to GI health.
Health Perception Patterns
Health perception patterns offer valuable insights into a patient's lifestyle habits and how they may impact their GI health. These patterns include:
152
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

132
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
132
Chronic Pancreatitis II: Collaborative Care01:29

Chronic Pancreatitis II: Collaborative Care

122
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
122

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Updated: Aug 19, 2025

DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens
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Characterizing gastrointestinal dysfunction after pancreatic resection: a single-center retrospective study.

Rebecca Bromley-Dulfano1, Auriel T August2, Amy Y Li2

  • 1Stanford University School of Medicine, 291 Campus Drive, Stanford, CA, 94305, USA. rabd@stanford.edu.

BMC Gastroenterology
|November 26, 2022
PubMed
Summary

Gastrointestinal dysfunction is common after pancreatic resection, affecting 67% of patients. Few receive formal diagnosis, highlighting a need for earlier intervention to improve quality of life.

Keywords:
DGEDelayed gastric emptyingEPIExocrine pancreatic insufficiencyGastrointestinal dysfunctionGastrointestinal symptomsPancreatic resectionPancreaticoduodenectomySIBOSmall intestinal bacterial overgrowthWhipple

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Patient Outcomes

Background:

  • Pancreatic resection frequently leads to gastrointestinal (GI) side effects like malabsorption and nausea.
  • These symptoms impede recovery, adjuvant therapy, and patient quality of life (QOL).

Purpose of the Study:

  • To determine the incidence of GI dysfunction post-pancreatectomy.
  • To identify patient risk factors for developing GI dysfunction.

Main Methods:

  • Retrospective chart review of 545 patients undergoing pancreatic resection (2014-2019).
  • Analysis of demographics, operative factors, and postoperative GI symptoms.
  • Statistical tests compared GI dysfunction across patient subgroups.

Main Results:

  • 67% of patients experienced persistent GI symptoms post-hospitalization.
  • Only 20% were referred for gastroenterology evaluation, with 5.5% receiving a diagnosis.
  • Pancreaticoduodenectomy (PD) patients and Caucasian patients showed higher symptom reporting and referral rates, respectively.

Conclusions:

  • Gastrointestinal dysfunction is prevalent after pancreatic resection, but diagnosis and treatment are infrequent.
  • Referral patterns for GI evaluation appear to differ by race.
  • Earlier diagnosis and treatment of postoperative digestive disorders are crucial for optimizing QOL.