Background: Pancreaticoduodenectomy is a standard procedure for periampullary tumours. Pancreatic anastomosis the Achilles heel of with significant leak rate and associated high morbidity. We adopted modified pancreatic stump drainage pancreato-gastrostomy - mobilization invagination into lumen stomach via posterior gastrotomy fixation two U shaped sutures to wall traversing across parenchyma.Â

Background: Malignant biliary and/or pancreatic obstruction has often encountered in the advanced stages of periampullary and cholangicarcinomas. HabibTM Radiofrequency (RF) ablation has been successfully used in the management of various cancers of liver and pancreas. Percutaneous HPB probe (EMcision Ltd, London, UK) is a new addition to this class of tools. It is an endoluminal Radiofrequency...

A 65-year old man presented with a six-month history of loss of appetite. Clinical examination was unremarkable. Initial endoscopy was reported to be normal. Ultrasound scan of the abdomen showed a dilated common bile duct with no gall bladder calculi. Serum alkaline phosphatase was raised (630.2 U/L). Duodenoscopy with a side-viewing scope (TJF-160R Olympus) revealed a periampullary growth han...

liposarcoma is a mesenchymal malignant tumor and is the second-most common soft tissue sarcoma in adults. primary peritoneal liposarcoma is very rare. we report a case of abdominal liposarcoma originating from peritoneum in 57-year old woman, presenting with hugeness of abdomen.   the symptoms had been begun from one month ago without any pain, discomfort or gastrointestinal symptoms. in physic...

Multiple stones, a periampullary diverticulum, and advanced patient age are factors that contribute to difficulty in stone removal [1]. We were able to completely remove the bile duct stones in a 93-year-old woman with a periampullary diverticulum, multiple stones (about 100), and common bile duct of 35mm in diameter using the large-balloon occupation technique (LBOT). The patient visited our h...

CONTEXT Brunner's gland adenoma is a rare benign duodenal neoplasm. It usually presents with luminal obstruction or gastrointestinal bleeding. In rare cases, it may mimic a pancreatic malignancy and may present with obstructive jaundice. CASE REPORT A 65-year-old female presented with a two-month history of abdominal pain, early satiety and retrosternal burning pain. Liver function tests show...

Ampullary adenocarcinoma (A-AC) is a rare malignancy arising from the ampulla of Vater. KRAS mutation is detected in 30-40% of patients with A-AC, but its clinical implication and prognostic value are not well described. We conducted this meta-analysis to investigate the association between KRAS mutation and prognosis in patients with A-AC. We searched Pubmed, MEDLINE, EMBASE, and the Cochrane ...

OBJECTIVE To evaluate the relationship between the occurrence of pancreatic fistula after pancreatojejunal anastomosis in patients undergoing pancreaticoduodenectomy for periampullary malignancy and the histological fibrosis and inflammation found in pancreatic tissue and the caliber of the main pancreatic duct. METHODS We conducted a retrospective study with patients that were treated with s...