Tumor diseases of the BPDZ (biliopancreatoduodenal zone) occupy one leading places among causes disability and mortality population, both according to global domestic statistics, while in 85–90 % cases, patients with distal tumor biliary obstruction are detected. The most common symptom malignant tumors periampullary localization is OJ(obstructive jaundice), which found 86–95 becomes first mani...

Endoscopic-ultrasound (EUS)-guided biliary drainage is a therapeutic option for patientswithbiliarypathologyandaltered gastrointestinal anatomy in whom conventional endoscopic retrograde cholangiopancreatography (ERCP) has failed [1– 3].We present the case of a patient undergoing EUS-guided choledochojejunostomy with a fully covered, lumen-apposingmetal stent (●" Video 1). A 64-year-oldmanwho h...

introduction: despite the vast number of surveys, no consensus has been reached on the optimum timing of spinal decompression surgery. this systematic review and meta-analysis aimed to compare the effects of early and late spinal decompression surgery on neurologic improvement and post-surgical complications in patients with traumatic spinal cord injuries. methods: two independent reviewers car...

Pancreatoduodenal resection (PDR) represents one of the most demanding procedures which is required in patients with a tumoral lesion at this level. The aim present article was to report results 272 submitted such surgical procedures. All were divided into two groups: main group, for whom optimized decompression algorithm used (n=112) and control preparation PDR carried out according generally ...

Background: Osteonecrosis is common after taking Temgesic and Norgesic. This study intended to suggest the preferable surgical treatment in osteonecrosis patients who use these drugs. Methods: Twenty tree patients with hip osteonecrosis who were hospitalized in the Kerman hospitals after using Temgesic and Norgesic were followed for about 14 months from 2008 to 2010 (from a minimum of 2 months ...

case presentation an 85 years old patient presented because of intractable right leg pain with minimal activities. she was diagnosed with significant right foraminal stenosis and she failed conservative non-invasive therapies. conclusions percutaneous lumbar hydro decompression can be a promising method for the treatment of the patients with lumbar spinal stenosis and neurogenic claudication se...

amongst the cause of cystic hepatic disease, hydatid cyst is common in the asia, south america, and africa. the definitive therapy for hepatic hydatid disease is surgical resection. rupture of the hydatid cyst into the biliary tree can lead to serious cholangitis. in this report, a 22-year-old man is presented with the signs and symptoms of obstructive jaundice and cholangitis. ultrasonography ...

Extrahepatic hepatic ductal injuries (EHDIs) due to blunt abdominal trauma are rare. Given the rarity of these injuries and the insidious onset of symptoms, EHDI are commonly missed during the initial trauma evaluation, making their diagnosis difficult and frequently delayed. Diagnostic modalities useful in the setting of EHDI include computed tomography (CT), abdominal ultrasonography (AUS), n...