Ethical Dilemma: Is it Worthwhile Operating an End-Stage Pancreatic Cancer Patient with Acute Mesenteric Artery Ischemia?

Christos Damaskos; Nikolaos Garmpis; Anna Garmpi; Vasiliki Epameinondas Georgakopoulou; Alexandros Patsouras; Georgia Sypsa; Athanasios Syllaios; Efstathios A. Antoniou

doi:10.15388/Amed.2021.28.2.17

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 Nov. 21];28(2):325-9. Available from: https://journals.vu.lt./AML/article/view/24504

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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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