P

Paclitaxel as advanced gastric cancer treatment, 225, 226?, 227, 228? as esophageal cancer treatment, 241, 243

as pancreatic cancer treatment, 189, 309, 310

Pain

Gastric cancer-related, 221 pancreatic cancer-related, 308

sacral plexus involvement-related, 302-303

Pain management, in palliative care, 301

Palliative therapy, 299-312 for colorectal cancer patients,

301-305 definition of, 300

for esophageal cancer patients, 232,

239-240, 241, 243, 244 for gastroesophageal cancer patients, 305-308 goal of, 300

for hemorrhage management, 302 hepatic arterial embolization as,

216-217 laparoscopic, 59-60, 65 pain management in, 301 for pancreatic cancer patients, 308-311

for pelvic tumor patients, 301-305 principles of, 301 prognostic factors in, 300 for small bowel cancer patients, 308 for stage IV colon cancer patients, 112

Pancreas, lymphatic drainage of, 308-309

Pancreatectomy, as pancreatic adenocarcinoma treatment, 188-193,194,195 in localized pancreatic adenocarcinoma, 185 postoperative care in, 193 postoperative combined-modality treatment with, 190-191 preoperative combined-modality treatment with, 189-190,190/ survival rate in, 195

Pancreatic cancer. See also

Adenocarcinoma, pancreatic cystic, 53

fine-needle aspiration biopsy of, 51-52, 56

jejunal feeding tube placement in, 46 metal stent placement in, 47-48 palliative therapy for, 308-311 Peutz-Jeghers syndrome-related, 75 staging of, 6-10, 7-9?, 12,19

with computed tomography, 36,

37-38/, 52-53 with laparoscopy, 60-61 symptoms of, 6-7 treatment of, 309-311 Pancreatic-head cancer, symptoms of, 7

Pancreatic islet cell tumors, staging of, 7-9,19

Pancreaticoduodenectomy, 189,191, 192/

with vascular resection and reconstruction, 193,194/ Pancreatitis, plastic billiary stent-

related, 47 Paraganglioma, gastrointestinal stromal tumor-associated, 273 Pararectal masses, endoscopic retrograde cholangiopancreatography of, 54-55 Pelvic metastases palliative treatment of, 301-305 symptoms of, 301-303 Pelvic tumors, 301-303

palliative therapy for, 303-305 symptoms of, 301-303 Peptic ulcer disease, 220 Peristalsis, 318-319 food intake-related increase in, 324, 328

hot liquid-related increase in, 321, 328

opiate-related decrease in, 325-326 Peritoneal carcinomatosis, gastric cancer-related, 221 Peritoneal metastases, 223 gastric cancer-related, 221 gastrointestinal stromal tumor-related, 272, 282 Peutz-Jeghers syndrome, 74, 75 p53 mutations Barrett's esophagus-associated,

359-360 colorectal cancer-associated, 94 N-Phosphonacetyl-L-aspartic acid

(PALA), 116-117 Photodynamic therapy, for Barrett's esophagus, 364-365

Polypectomy as colon cancer treatment, 125 endoscopic, with celecoxib adjunct therapy, 98

Polyps adenomatous, as colorectal cancer risk factor, 138 gastric, endoscopic ultrasonographic imaging of, 51 Polyvinyl alcohol, use in portal vein embolization, 206 Portal vein, involvement in pancreatic adenocarcinoma, 193 Portal vein embolization of liver metastases, 179-181,180/ of primary liver cancer, 198,

202-206, 204/, 216 prior to extended liver resection, 179-181,180/ Positron emission tomography (PET), 29, 31, 32-33/, 41 of esophageal cancer, 234, 243 ,8F-fluoro-2-deoxy-D-glucose, 31,

32-33/, 141, 169, 279f of gastrointestinal stromal tumors,

275, 275f, 276-278, 279! of liver cancer, 199 of recurrent colorectal cancer, 167

Prokinetic drugs, 343 Proton-pump inhibitors, 362 Psyllium (Metamucil), 321-322, 323f

Pulmonary reserve, in esophageal cancer, 235 Pyloromyotomy, 238 Pyloroplasty, 238

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