IMPORTANCE Central pancreatectomy, as an alternative to standard resection for benign and low-grade pancreatic neoplasms, has been described in mainly small retrospective series. OBJECTIVE To describe a large single-center experience with central pancreatectomy. DESIGN, SETTING, AND PARTICIPANTS A retrospective case series in a tertiary referral center included 100 consecutive patients unde...

Background: Chronic pancreatitis being one of the most distressing medical condition, is often complicated by common bile duct obstruction, fibrosis and acute inflammation pancreas. Pain, weight loss diabetes are in these patients. Surgery ultimate option after treatment fails to solve distress. Longitudinal Pancreatico-jejunostomy widely practiced all over world as choice. Pancreatico-gastrost...

BACKGROUND Delayed gastric emptying (DGE) is the most frequent pancreatic specific complication (PSC) after pancreaticoduodenectomy (PD). Several gastric decompression systems exist to manage DGE. Patients with a pancreatic tumor require prolonged nutrition; however, controversies exist concerning nutrition protocol after PD. The aim of the study was to assess the safety and efficacy of nasogas...

PURPOSE In this study, we introduced a novel technique, the pancreaticojejunostomy (PJ), which uses only two transpancreatic sutures with buttresses (PJt), and compared the surgical outcomes with previously used methods, especially for hard pancreases. METHODS A total of 101 patients who underwent pancreaticoduodenectomy with hard pancreases were enrolled and divided into 3 groups according t...

Introduction: PPH and postoperative pancreatic fistula (POPF) are the most life-threatening complications after pancreaticoduodenectomy (PD). The aim of this study is to compare incidence both between two reconstruction techniques: PG PJ. Method: 274 Patients undergoing PD were included in a prospective database. Dunking with interrupted sutures PDS 4/0 on rear side stomach was initially preffe...

Endoscopic ultrasound (EUS)-guided pancreatic duct access in patients with an inaccessible papilla or failed endoscopic retrograde cholangiopancreatography (ERCP) has been reported previously [1, 2]. This technique consists of the EUSguided rendezvous technique, and EUSguided pancreatic duct stenting via the stomach (pancreaticogastrostomy), or the duodenum (pancreaticoduodenostomy) [2]. Howeve...

BACKGROUND Surgery remains the mainstay of therapy for pancreatic head (PH) and periampullary carcinoma (PC) and provides the only chance of cure. Improvements of surgical technique, increased surgical experience and advances in anesthesia, intensive care and parenteral nutrition have substantially decreased surgical complications and increased survival. We evaluate the effects of reconstructio...