Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?
Case studies
Christos Damaskos
enal Transplantation Unit, Laiko General Hospital, Athens, Greece; N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Nikolaos Garmpis
.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece; Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Anna Garmpi
First Department of Propedeutic Internal Medicine, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Vasiliki Epameinondas Georgakopoulou
Laiko General Hospital; Sismanogleio Hospital, Athens, Greece
Alexandros Patsouras
N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Georgia Sypsa
Department of Radiology, Laiko General Hospital, Athens, Greece; School, National and Kapodistrian University of Athens, Greece
Athanasios Syllaios
First Department of Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Efstathios A. Antoniou
Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece N.S. Christeas Laboratory of Experimental Surgery and Surgical Research, Medical School, National and Kapodistrian University of Athens, Athens, Greece
Published 2021-12-17
https://doi.org/10.15388/Amed.2021.28.2.17
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Keywords

End-stage pancreatic cancer
Acute mesenteric artery ischemia
Surgery
Treatment
Ethical dilemma

How to Cite

1.
Damaskos C, Garmpis N, Garmpi A, Georgakopoulou VE, Patsouras A, Sypsa G, et al. Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?. AML [Internet]. 2021 Dec. 17 [cited 2024 Mar. 29];28(2):325-9. Available from: https://www.journals.vu.lt/AML/article/view/24504

Abstract

Pancreatic cancer is as an aggressive malignancy with low survival rates. We present the first case of an operation of acute mesenteric ischemia performed in a patient with end-stage pancreatic adenocarcinoma. Through this case, we also discuss raising concerns regarding the management of severe complications such as acute mesenteric ischemia in patients with progressed pancreatic carcinoma. How ethical is to leave patients untreated? The decisions for management of patients with advanced disease are strongly based on the expected quality of life, ethical principles, different religions and spiritualities, and the burden of healthcare cost.

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