522.4(p=0.443),Alb:3.473.48g/dl(p=0.898), Prealb:17.817.4 mg/dl(p=0.822).T. chol: 168168 mg/dl(p=0.973)In case (2). Before and 8 weeks after start taking orally of Pancrelipase; BMI: (n=14):19.919.6(p=0.420), selleck screening library Alb:3.363.36g/dl(p=0.948), PreAlb(n=14):20.514.4 mg/dl(p=0.286), T. chol(n=17):163148 mg/dl (p=0.099). In case (3).Before and 8weeks after start chemotherapy; BMI:(n=77):21.120.7(p=0.0025), Alb:(n=79)3.683.52g/dl(p=0.0006), At case (1) and (3), BMI(after 8weeks)/BMI(when start) ratio is 1.00:0.98(p=0.176), alb(after 8 weeks)/alb(when start)ratio is 1.01:0.96(p=0.072). Conclusion: There are possibilitys that nutrition conditions become improvement when start

chemotherapy to patients of unresectable pancreas cancer,start taking orally of Adriamycin purchase Pancrelipase capsules at the same time,and continue for 8 weeks. Key Word(s): 1. pancreas cancer; 2. exocrine dysfunction; 3. Pancrelipase; 4. nutritional ; Presenting Author: BEOMYONG YOON Additional Authors: HYEJIN KIM, SEWOONG HWANG, SEYOUNG PARK, SUNHYUNG KNAG, HEESEOK MOON, SEOKHYUN KIM, JAEKYU SEONG, EAUMSEOK LEE, BYUNGSEOK LEE, HYUNYONG JEONG, HEONYOUNG LEE Corresponding Author: BEOMYONG YOON Affiliations: Chungnam Nat. Univ. Hospital Objective: Introduction: Pseudomyxoma peritonei (PMP) is a clinical condition in which the abdominal cavity becomes filled with gelatinous collections

from mucinous implants. It is well recognized that PMP arises predominantly from an appendiceal mucinous neoplasm. However, PMP can occasionally arise from mucinous neoplasms of other organs, such as the ovary, colorectum, stomach, gallbladder, and pancreas. An intraductal papillary mucinous neoplasm (IPMN) is a type of neoplasm composed of mucin-producing cells that arise in the pancreatic duct. Although the clinical manifestation of an IPMN has been gradually clarified, it is not well accepted whether an IPMN is associated with PMP. Here we report a case of PMP combined with an IPMN spontaneously ruptured causing mucinous materials to spill into the free abdominal cavity. Methods: Case description: A 59-year-old man was admitted to our

hospital due to severe epigastric pain in July 2012. Computed Suplatast tosilate tomography (CT) showed cystic lesion (2.8 cm) with intracystic papillary growing lesions in pancreatic head; severe dilatation of main pancreatic duct with multiple small papillary growing lesions, suggesting IPMN (combined main and branch duct type). Results: The patient received neoadjuvant systemic chemotherapy with Gemcitabine monotherapy among planned sessions in other hospital. On October 2012, he referred to our hospital with severe abdominal pain and distension. An emergent computed tomography revealed a focal rupture of main pancreatic duct of body of pancreas with diffuse smudgelike infiltration in omentum and small amount of complicated fluid collection, suggesting peritonitis. And less than 11cm sized amorphic pseudocysts were shown in the gastropancreatic space, probably due to rupture of pancreatic duct.