Total duodenopancreatectomy: the role of a multidisciplinary team approach in successful treatment. Case report

Abstract

In order to identify and correct concomitant diseases all patients undergo a comprehensive examination before surgical treatment. Rare concomitant diseases include primary chronic adrenal insufficiency. This clinical case presents the total duodenopancreatectomy in a patient with primary chronic adrenal insufficiency. Available algorithms are not always suitable in the treatment of such patients after surgical interventions, especially long-term and extensive. It is necessary to focus on laboratory parameters and the clinical picture. An individual and multidisciplinary approach to the treatment of patients with comorbid pathologies is important.

Keywords

• diabetes mellitus after pancreatectomy
• pancreas
• total duodenopancreatectomy
• exocrine pancreatic insufficiency
• intracurrent papillary mucinous tumor
• primary chronic adrenal insufficiency