Research Article

Whipple’s Pancreatoduodenectomy in the Background of Chronic Liver Disease (CLD): An Institutional Experience

Table 1

Demographic and preoperative variables.

VariablesCase 1Case 2Case 3Case 4

Age (yrs)62693166
GenderMMMF
Preop diagnosisAdenocarcinomaAdenocarcinomaAdenocarcinomaAdenocarcinoma
Location of lesionAmpullaHead of the pancreasDistal CBDHead of the pancreas
Comorbidity (others)Diabetes mellitusDiabetes mellitusNoneDiabetes mellitus, hypertension
CLD aetiologyNASHNASHAlcoholNASH
Worst Child’s status (CTP score)A (6)A (6)B (9)A (6)
MELD score (worst)17181916
Performance status (ECOG)1111
Fibroscan (kPa)38.741.245.720.7
UGI endoscopyEarly oesophageal varicesEarly portal hypertensive gastropathyLarge oesophageal varicesNo varices
Preop cholangitisAbsentAbsentAbsentAbsent
Preop stentingNot performedPerformedPerformedNot performed
Preop neoadjuvant therapyNoneNoneNoneNone