Transfusion free radical antegrade modular pancreaticosplenectomy of metastatic neuroendocrine tumor of the pancreas in Jehovah's Witness patient
Annals of Surgical Treatment and Research
;
: 106-110, 2015.
Article
in English
| WPRIM
| ID: wpr-23004
ABSTRACT
In a popular sense, Jehovah's Witnesses (JW) have their creeds, one of which is refusal of blood transfusion. Such refusal may impinge on their proper management, especially in critical situations. We present a case of successful bloodless multimodality therapy, which was performed for a JW. The patient was a 49-year-old woman and JW who had general weakness 7 days before admission. She was diagnosed with a pancreatic neuroendocrine tumor (PNET) with hepatic metastases. Transcatheter arterial chemoembolization and Sandostatin LAR injection were performed, and then she was given a transfusion-free Radical antegrade modular pancreatosplenectomy sequentially. We gave recombinant human erythropoietin and iron hydroxide sucrose complex daily for five days after surgery. She was discharged at postoperative day 12 without any surgical complications. Multimodality therapy is very important for optimal treatment of PNET. Along with intimate interdepartmental cooperation, careful patient selection and appropriate perioperative management could possibly enhance the surgical outcome.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreas
/
Pancreatectomy
/
Sucrose
/
Blood Transfusion
/
Octreotide
/
Erythropoietin
/
Neuroendocrine Tumors
/
Neuroectodermal Tumors, Primitive
/
Patient Selection
/
Jehovah's Witnesses
Limits:
Female
/
Humans
Language:
English
Journal:
Annals of Surgical Treatment and Research
Year:
2015
Type:
Article
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