Multiple neoplastic lesions at separate gastrointestinal sites is rare with incidence of 0.7-11%. Majority primary neoplasms (MPN's) are double while triple/quadruple malignancies extremely a ratio 2.7:1. Patients periampullary having lesion in stomach or gastroesophageal junction rare. These patients requiring Whipple's pancreaticoduodenectomy (PD) resection the adjoining for R0 Resection rare...

Patients with Gardner's syndrome are increasingly found to have polyps on routine upper gastrointestinal endoscopy, and their risk of developing periampullary carcinoma is between 3-12%. We report a 45 year old man with Gardner's syndrome who presented with periampullary carcinoma 5 years after colectomy. Review of the literature amassed another 21 cases of periampullary carcinoma in patients w...

Abstract Aims Patients with a suspected cancer affecting the pancreatic head or periampullary region may be offered curative-intent pancreatoduodenectomy providing they are fit enough. Due to high-risk nature of operation and high recurrence rates, outcomes poor. This study aimed investigate impact patient gender on key short- long-term outcomes. Methods Data were extracted from Recurrence Afte...

Aims. We here investigated the association of different types of periampullary diverticula (PAD) with pancreaticobiliary disease and with technical success of endoscopic retrograde cholangiopancreatography (ERCP). Methods. A total of 850 consecutive patients who underwent their first ERCP were entered into a database. Of these patients, 161 patients (18.9%) had PAD and the age- and sex-matched ...

INTRODUCTION Pancreatic cancer has a poor prognosis with <5% alive at 5 years, despite active surgical treatment. The study aim was to review patients undergoing pancreatic resection and assess the effect of clinical and pathological parameters on survival. PATIENTS AND METHODS All patients who had undergone radical pancreatic surgery, January 1996 to December 2008, were identified from the u...

CONTEXT The major goals that must be achieved during pancreaticoduodenectomy (PD) include reduction of postoperative hemorrhage and/or operating time. We herein describe a new technique for PD examining right posterior approach PD. METHODS From January 2012 to December 2013, 116 patients underwent PD for periampullary or pancreatic disease. Of these 116 patients, 56 cases were surgically trea...

HYPOTHESIS Duodenal-preserving resection of the head of the pancreas (DPRHP) and pancreas head resection with segmental duodenectomy (PHRSD) can be alternatives to standard pancreaticoduodenectomy for benign periampullary lesions. DESIGN Retrospective analysis of patients requiring surgery for benign and borderline malignant tumors of the periampullary region. SETTING Tertiary care referral...

Periampullary carcinoma metastases are usually located at regional nodes, adjacent organs, liver or lung. On the other hand, metastatic penile cancer is uncommon. Penile metastasis usually originates from pelvic region with prostate and bladder being the most frequent primary location. We present a very rare case of periampullary carcinoma with penile metastasis in a 49-year-old man. He initial...