MARC details
| 000 -LEADER |
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| fixed length control field |
03032nam a22002777a 4500 |
| 001 - CONTROL NUMBER |
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| control field |
SUR 2020 0003 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
PILC |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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| control field |
20240720153216.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
211022b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Language of cataloging |
eng |
| Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
| Description conventions |
rda |
| 041 ## - LANGUAGE CODE |
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| Language code of text/sound track or separate title |
english |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
SUR 2020 0003 |
| 245 ## - TITLE STATEMENT |
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| Title |
Gastric outlet obstruction secondary to duodenal adenoma S/P laparoscopic pancreaticoduodenectomy / |
| Statement of responsibility, etc. |
Carl Evans Y. De Castro ; Raymund Andrew G. Ong and Jenine Joy C. Segismundo. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
|---|
| Place of publication, distribution, etc. |
Fairview, Quezon City: |
| Name of publisher, distributor, etc. |
Department of Surgery, FEU-NRMF, |
| Date of publication, distribution, etc. |
2020 |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Other physical details |
photos; |
| Dimensions |
(in folder) |
| Accompanying material |
with flash drive (soft copy). |
| 336 ## - CONTENT TYPE |
|---|
| Source |
rdacontent |
| Content type term |
text |
| 337 ## - MEDIA TYPE |
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| Source |
rdamedia |
| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
|---|
| Source |
rdacarrier |
| Carrier type term |
volume |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes bibliographical references. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Abstract: Adenomas are the most common benign tumor found in the small intestine and are most frequently seen at duodemun. However, they are rare having an incidence rate as low as 0.03%. Duodenal adenomas are usually asymptomatic and only diagnosed as incidental finding during esophagogastroduodenoscopy. In this case study, a 39 year old male presented with intermittent symptomatology of gastric outlet obstruction and has consulted to different medical institutions for a span of 5 months. Several diagnostic workup was done on his admission in our institution, which includes whole abdominal CT scan with contrast, esophagogastroduodenoscopy with biopsy and endoscopic ultrasound with biopsy which all showed gross findings of circumferential mass at the gastric pylorus extending to the first part of the duodenum with luminal narrowing of >90%, suspicious for malignancy and histological findings of adenoma with mild dysplasia. Surgical treatment is recommended in cases of duodenal adenoma larger than 2 cm and in cases with the presence of severe dysplasia and suspicious carcinomatous infiltration. Four major surgical procedures were contemplated for the removal of the duodenal adenoma which includes pancreas preserving duodenectomy, transduodenal excision, local full-thickness resection, and pancreaticoduodenectomy. Final surgical procedure done was laparoscopic pancreaticoduodenectomy due to >3 cm size, location of mass and high chance of malignancy of its highly effective surgical procedure it has been reported to have life-threatening complications associated with perioperative morbidity requiring intensive care management, mortality, and long-term effect on patients' quality of life. Therefore, endoscopic resection of duodenal adenomas has been introduced as a less invasive effective alternative, but has limited to small and superficial adenomas. In this case study, pancreas preserving duodenectomy as a safer surgical approach to symptomatic large duodenal adenoma will be discussed. |
| 521 ## - TARGET AUDIENCE NOTE |
|---|
| Target audience note |
Research - Department of Surgery |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
De Castro, Carl Evans Y., MD. |
| Relator term |
author |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Ong, Raymund Andrew G., MD. |
| Relator term |
author |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Segismundo, Jenine Joy C., MD. |
| Relator term |
author |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Room Use |
