Related Experiment Video

Updated: Jul 25, 2025

Colonial Wig Pancreaticojejunostomy
07:49

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

12.1K

Perforated marginal ulcer following Whipple procedure: A case report

Sabina Rijal1, Shila Awal2, Sunil Basukala3

  • 1Western Command Hospital Nepalgunj Nepal.

Clinical Case Reports
|June 26, 2023
PubMed

Insights

Marginal ulcers are rare but serious complications following pancreatoduodenectomy. Patients may experience symptoms like pain or dysphagia, or present with emergency complications such as bleeding or perforation.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Digestive Diseases

Background:

  • Pancreatoduodenectomy, also known as the Whipple procedure, is a complex surgery for upper gastrointestinal cancers.
  • Marginal ulcers represent a rare but significant post-operative complication.
  • Understanding these ulcers is crucial for improving patient outcomes after major pancreatic surgery.

Observation:

  • Patients undergoing pancreatoduodenectomy can develop marginal ulcers.
  • Symptoms are variable, including epigastric discomfort, pain, and dysphagia.
  • Severe presentations include emergency department visits for bleeding and perforation.

Findings:

  • Marginal ulcers are an uncommon sequela of pancreatoduodenectomy.
  • Clinical manifestations range from mild discomfort to life-threatening emergencies.
  • The abstract highlights the spectrum of presentation for this rare complication.

Implications:

  • Early recognition and management of marginal ulcers are essential.
  • Further research may elucidate specific risk factors and preventative strategies.
  • Improved understanding can guide clinical practice and enhance post-surgical care for pancreatoduodenectomy patients.
Keywords:
marginal ulcerspancreatoduodenectomy

More Related Videos

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy08:57

Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy

Published on: June 17, 2018

15.1K
A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy03:56

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

2.4K

Related Concept Videos

Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
349
Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
226
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
173
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
94
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
490
Peptic Ulcer Disease II: Pathophysiology01:28

Peptic Ulcer Disease II: Pathophysiology

Peptic Ulcer Disease (PUD) is characterized by the development of ulcers in the stomach or duodenal mucosa. Its pathophysiology is complex, involving a balance between damaging and protective elements.
Damaging agents such as Helicobacter pylori, gastric acid, pepsin, and nonsteroidal anti-inflammatory drugs (NSAIDs) can weaken the mucosal defense, allowing hydrogen ions to infiltrate back and harm epithelial cells.
564