Definitive acid-reducing peptic ulcer surgery currently plays a less prominent role than medical treatment in the management of peptic ulceration. The utilisation of proton pump inhibitors and Helicobacter eradication are proven effective therapies. Giant duodenal ulcers, first described by Brdiczka in 1931, 3 pose a unique challenge to this shift in therapy. There are various described surgica...

Acute afferent loop syndrome following pancreaticoduodenostomy is generally caused by mechanical occlusion due to pancreatic cancer recurrence. Historically, it has been treated with palliative surgical bypass [1–5]. A retrograde endoscopic approach with placement of an enteral metal stent across the afferent limb stricture is often not possible [2]. We report the first case series of endoscopi...

aim : the aim of this study was to comprehensively analyze histopathologic parameters of whipple pancreaticoduodenectomy specimens at taleghani general hospital pathology department. background : the whipple procedure is performed for variety of tumors involving the head of the pancreas, ampulla of vater, common bile duct, or duodenum. patients and methods : records of all cases of whipple panc...

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...

Endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD) is an effective treatment modality for pancreatic pathologies, including chronic pancreatitis, major or minor papilla inaccessible via endoscopic retrograde cholangiopancreatography, and postsurgical pancreaticoenterostomy stricture [1,2]. Technically, however, EUS-PDD can be very difficult and is potentially associated with signif...

Abstract Background The formation of the pancreaticojejunostomy during pancreaticoduodenectomy is most technically challenging aspect procedure, with its failure increasing rates both morbidity and mortality significantly. Early identification management a clinically relevant post-operative pancreatic fistula (CR-POPF) can be critical in reducing threat potentially avoidable harm to patient. us...