Most insulinomas are solitary, benign and functional neuroendocrine pancreatic tumours which give rise to manifold symptoms. Their preoperative localisation is often unclear, but the cure rate after their excision is very high. It was the aim of this study to analyse and evaluate our group of patients with regard to preoperative tumour localisation and overall surgical results. Twelve patients ...

BACKGROUND Pancreatic cancer is generally found in the older population Pancreaticoduodenectomy seems to be the only way in resolving these resectable tumors. Allen. O Whipple was the first to describe pancreaticoduodenectomy in 1935 as a modified procedure. This article is a case series with respect to the 7-year experience of the Whipple procedure in Firoozgar Teaching Hospital. METHODS Pat...

AMA Bouchagier K, Mulita F, Verras G, et al. Association between perineural infiltrations and delayed gastric emptying after Whipple procedure for periampullary tumours, the relationship with other clinicopathological factors overall survival. Gastroenterology Review/Przegląd Gastroenterologiczny. 2023. doi:10.5114/pg.2023.129464. APA Bouchagier, K., Mulita, F., Verras, G., Nehr, S., Perdikaris...

The Whipple collaboration pioneered the Imaging Atmospheric Cherenkov Technique (IACT) for the detection of Very High Energy (VHE) gamma rays. The Whipple 10 m gamma-ray telescope was located at the Fred Lawrence Whipple Observatory in Southern Arizona in the United States. The predecessor to VERITAS (Very Energetic Radiation Imaging Telescope Array System), this telescope was in operation from...

We tested 53 fixed duodenal biopsy samples from 25 patients with Whipple disease for the presence Giardia and 6 fresh duodenal biopsy samples for Giardia duodenalis DNA by polymerase chain reaction (PCR). We also used histological examination and PCR assay to determine the prevalence of G. duodenalis in duodenal biopsy samples from 150 control patients without Whipple disease. Three of 25 patie...

Gastrointestinal stromal tumors (GISTs) originating in the duodenal wall constitute the most challenging localization for this gastrointestinal neoplasm. Duodenal GISTs are relatively uncommon. The prevalence of duodenal GIST is very low, accounting for 5% to 7% or less of all surgically resected GISTs. Most published reports on duodenal GIST are case reports or small case series. Consequently,...

A 60-year-old man undergoing a Whipple procedure to treat a pancreatic cancer was found to have tumor adherence to the portal vein. An en block pancreaticoduodenectomy with segmental portal vein resection (PVR) was performed. A primary portal vein anastomosis was initially attempted but failed. Hemodynamic deterioration led the authors to perform a temporary prosthetic portal vein interposition...

Although only 32,000 new cases of adenocarcinoma of the pancreas occur in the United States each year, it is the fourth leading cause of cancer deaths in this country. The overall five-year survival rate is 4 percent, and localized, resectable disease has only a 17 percent survival rate. Risk factors include smoking, certain familial cancer syndromes, and familial chronic pancreatitis. The link...

INTRODUCTION Pancreatic carcinoma affecting the uncinate process is a challenging surgical condition. Several considerations affect the management plan, including the need for vascular resection and the ability to achieve a clear margin. METHODS The data of 19 patients who had curative resection for pancreatic adenocarcinoma of the uncinate process were reviewed. Operative mortality and morbi...