HYPOTHESIS After resection of an adenocarcinoma of the ampulla of Vater, certain clinical and pathologic characteristics influence long-term survival. DESIGN Retrospective case series. SETTING Major academic medical and pancreatic surgical center. PATIENTS Fifty-five consecutive patients who underwent Whipple resection for ampullary adenocarcinoma from 1988 through 2001. INTERVENTIONS P...

References 1 Hegewald MJ, Crapo RO. Respiratory physiology in pregnancy. Clin Chest Med 2011; 32: 1–13. 2 Melot C, Naeije R. Pulmonary vascular diseases. Compr Physiol 2011; 1: 593–619. 3 Cutts BA, Dasgupta D, Hunt BJ. New directions in the diagnosis and treatment of pulmonary embolism in pregnancy. Am J Obstet Gynecol 2013; 208: 102–108. 4 Pernot J, Puzenat E, Magy-Bertrand N, et al. Detection...

BACKGROUND The pp-Whipple procedure requires extensive preparation. The conventional preparation technique is done with scissors for dissection and ligatures, and with clips and sutures for hemostasis. This procedure is very time-consuming and requires numerous changes of instruments. The LigaSure™ device allows dissection and hemostasis for preparation with one instrument. Up to now there has ...

BACKGROUND Pancreaticoduodenectomy is the procedure of choice for tumors of the head of the pancreas and periampulla. Despite advances in surgical technique and postoperative care, the procedure continues to carry a high morbidity rate. One of the most common morbidities is delayed gastric emptying with rates of 15%-40%. Following two prolonged cases of delayed gastric emptying, we altered our ...

Zollinger-Ellison syndrome (ZES) is a clinical syndrome with severe peptic ulcer disease and diarrhea caused by gastric acid hypersecretion secondary to a neuroendocrine tumour that secretes excessive amounts of the hormone gastrin (gastrinoma). Gastrinomas occur in a familial and a sporadic form. Patients with gastrinoma in the familial setting of Multiple Endocrine Neoplasia type 1 (MEN-1) ar...

BACKGROUND To determine the epidemiological, clinical, diagnostic and therapeutic characteristics of Whipple s disease in Spain. PATIENTS AND METHOD Cases of Whipple s disease reported in the Spanish literature between 1947 and 2001 which meet histological or PCR criteria are reviewed. RESULTS 91 cases were included, 87.5% of which were male. The maximum incidence was between 40 and 60 year...

INTRODUCTION In 1898, Allesandro Codivilla performed the first pancreaticoduodenectomy; however, it was Kausch who first described the surgical technique in 1912. More than two decades later (1935), Allen O. Whipple performed a twostaged pancreaticoduodenectomy that involved a biliary diversion and gastrojejunostomy followed by resection of the duodenum and head of the pancreas. In 1941, Whippl...

Abstract Safety of satellites as well spacecrafts during space missions is a primary objective to preserve the physical and virtual assets onboard. Whipple shields belong class protective equipment provided on surface satellites, sustain impacts from ultra-high speed debris, which can otherwise cause considerable damage corresponding structures. Recent works whipple are focussed determining res...

PURPOSE In practice, the surgeon must rely on screw position (insertion depth) and tactile feedback from the screwdriver (insertion torque) to gauge compression. In this study, we identified the relationship between interfragmentary compression and these 2 factors. METHODS The Acutrak Standard, Acutrak Mini, Synthes 3.0, and Herbert-Whipple implants were tested using a polyurethane foam scaph...