A Case of Vasoactive Intestinal Polypeptide Secreting Pancreatic Tumor Recovered from Severe Circulation and Renal Disorders by Use of Artificial Support Including Continuous Hemodialysis and Filtration Followed by Distal Pancreatectomy
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- Hirose Tetsuro
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
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- Nishimura Mitutaka
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
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- Azuma Daisuke
- Department of Renal Medicine, Takamatsu Red Cross Hospital
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- Takahashi Norihiro
- Department of Renal Medicine, Takamatsu Red Cross Hospital
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- Yamaoka Ryoya
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
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- Yasuda Katsutaro
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
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- Ishikawa Yasuhide
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
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- Shimada Toshihide
- Department of Pathology, Takamatsu Red Cross Hospital
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- Ogino Tetsuro
- Department of Pathology, Takamatsu Red Cross Hospital
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- Nishihira Tomohiko
- Department of Gastroenterological Surgery, Takamatsu Red Cross Hospital
Bibliographic Information
- Other Title
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- Vasoactive intestinal polypeptide産生膵腫瘍による大量下痢からの循環・腎機能不全に対し持続的血液濾過透析など生命補助下に腫瘍切除しえた1例
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Abstract
A 60-year-old woman administered intravenous fluid and electrolyte replacement one year for refractory diarrhea, was hospitalized several times for hypokalemia and general muscle weakness. Computed tomography showed a 10 cm pancreatic body tumor. She was referred for hemodialysis after her diarrhea caused renal failure. Suspecting vasoactive intestinal polypeptide-secreting tumor, we attempted unsuccessfully to ease the diarrhea with loperamide hydrochloride and octreotide acetate. Hemodialysis, then continuous hemodialysis with filtration, was introduced against circulatory failure, severe acidosis, and renal failure. Distal pancreatectomy was done as soon as high serum vasoactive intestinal polypeptide was identified. Diarrhea subsided within 2 days of surgery, and she was removed from life-support equipment. Even under life-threatening conditions requiring artificial organ support, including continuous hemodialysis and filtration, tumor resection is the only way to enable patients to resume regular lives.
Journal
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- The Japanese Journal of Gastroenterological Surgery
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The Japanese Journal of Gastroenterological Surgery 43 (6), 640-646, 2010
The Japanese Society of Gastroenterological Surgery
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Keywords
Details 詳細情報について
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- CRID
- 1390282679896174976
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- NII Article ID
- 130004560630
- 110007656696
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- NII Book ID
- AN00192066
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- ISSN
- 13489372
- 03869768
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- Text Lang
- ja
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- Data Source
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- JaLC
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed