OBJECTIVE In general, chronic pancreatitis (CP) primarily requires conservative treatment. The chronic pain syndrome and complications make patients seek surgical advice, frequently after years of progression. In the past, surgical procedures involving drainage as well as resection have been employed successfully. The present study compared the different surgical strategies. - PATIENTS AND ME...

BACKGROUND Whipple surgery (pancreaticodeudenectomy) has a high complication rate. We aimed to evaluate whether adding Braun jejunojejunostomy (side-to-side anastomosis of afferent and efferent loops distal to the gastrojejunostomy site) to a standard Whipple procedure would reduce postoperative complications. METHODS We conducted a randomized clinical trial comparing patients who underwent s...

Pancreatic sarcoidosis is a rare variant of systemic sarcoidosis, with cases described in literature as recently as January 2010. We present here a case of pancreatic involvement with non-caseating granulomas discovered on laparotomy in a patient with a preoperative diagnosis of pancreatic carcinoma. Computer tomography scan without contrast revealed a well-marginated smooth-shaped tumor in the...

After the establishment of Whipple Procedure in 1935, the surgical techniques for pancreatic surgery evolved rapidly with the improvement of surgical skills, radiology, anesthesiology and intensive care. For now, the mortality rates for Whipple procedure can be achieved by less than 5% [1]. Though this procedure has been optimized over time, however, due to the complex anatomy of the pancreas, ...