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Pancreaticoduodenectomy

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https://www.readbyqxmd.com/read/28530445/gamma-knife-treatment-of-recurrent-cns-metastases-of-pancreatic-origin-a-case-report-and-review-of-the-literature
#1
Subha Perni, Tony J Wang, Jerry Lesser, Christopher Mandigo, Steven R Isaacson, David P Horowitz
Brain metastases (BM) of pancreatic origin are extremely rare. We review the literature around BM of pancreatic origin and describe a 38-year-old woman who developed BM 10 months after pancreaticoduodenectomy for treatment of pancreatic adenocarcinoma. She underwent resection and fractionated stereotactic radiotherapy followed by re-resection and Gamma Knife radiosurgery (GKRS) when the lesion recurred. She then developed two new BM, and was treated with GKRS. The patient is alive without progression 38 months after her most recent GKRS...
April 2017: CNS Oncology
https://www.readbyqxmd.com/read/28521286/duct-to-mucosa-versus-invagination-pancreaticojejunostomy-after-pancreaticoduodenectomy-a-meta-analysis
#2
Shuisheng Zhang, Zhongmin Lan, Jianwei Zhang, Yingtai Chen, Quan Xu, Qinglong Jiang, Yajie Zhao, Chengfeng Wang, Xiaoning Bi, Xiaozhun Huang
OBJECTIVE: We aimed to compare the two most commonly used pancreatico-jejunostomy reconstruction techniques-duct-to-mucosa and invagination. METHODS: Databases, including MEDLINE, EMBASE, Cochrane Library, and several clinical trial registration centers were searched. Randomized controlled trials that compared duct-to-mucosa and invagination pancreaticojejunostomy techniques after pancreaticoduodenectomy were included and analyzed. RESULTS: In total, seven RCTs were included, involving 850 patients...
April 28, 2017: Oncotarget
https://www.readbyqxmd.com/read/28516311/duodenal-and-ampullary-carcinoid-tumors-size-predicts-necessity-for-lymphadenectomy
#3
Epameinondas Dogeas, John L Cameron, Cristopher L Wolfgang, Kenzo Hirose, Ralph H Hruban, Martin A Makary, Timothy A Pawlik, Michael A Choti
BACKGROUND: Unlike other neuroendocrine tumors of the gastrointestinal tract, management of duodenal and periampullary carcinoids remains controversial. We aimed to determine the metastatic potential and optimal choice of therapy for these neoplasms. METHODS: A retrospective review of all patients treated at the Johns Hopkins Hospital between 1996 and 2012 was conducted. Clinicopathologic factors associated with lymph nodal involvement and clinical outcomes were evaluated...
May 17, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/28513069/predict-pancreatic-fistula-after-pancreaticoduodenectomy-ratio-body-thickness-main-duct
#4
Louise Barbier, Diane Mège, Anthony Reyre, Vincent M Moutardier, Jacques A Ewald, Jean-Robert Delpero
BACKGROUND: The occurrence of post-operative pancreatic fistula (POPF) after pancreaticoduodenectomy is a challenging issue. The aim was to identify variables on preoperative computed tomography (CT) scan, useful to predict clinically significant POPF (grades B-C) after pancreaticoduodenectomy. METHODS: Patients presented POPF after pancreaticoduodenectomy were included from two tertiary referral centres. B/W ratio was defined by ratio of pancreas body thickness (B) to main pancreatic duct (W)...
May 16, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28511699/does-intraoperative-closed-suction-drainage-influence-the-rate-of-pancreatic-fistula-after-pancreaticoduodenectomy
#5
Ophélie Aumont, Aurélien Dupré, Adeline Abjean, Bruno Pereira, Julie Veziant, Bertrand Le Roy, Denis Pezet, Emmanuel Buc, Johan Gagnière
BACKGROUND: Although drainage of pancreatic anastomoses after pancreaticoduodenectomy (PD) is still debated, it remains recommended, especially in patients with a high risk of post-operative pancreatic fistula (POPF). Modalities of drainage of pancreatic anastomoses, especially the use of passive (PAD) or closed-suction (CSD) drains, and their impact on surgical outcomes, have been poorly studied. The aim was to compare CSD versus PAD on surgical outcomes after PD. METHODS: Retrospective analysis of 197 consecutive patients who underwent a standardized PD at two tertiary centers between March 2012 and April 2015...
May 16, 2017: BMC Surgery
https://www.readbyqxmd.com/read/28504957/post-pancreaticoduodenectomy-hemorrhage-dsa-diagnosis-and-endovascular-treatment
#6
Tan-Yang Zhou, Jun-Hui Sun, Yue-Lin Zhang, Guan-Hui Zhou, Chun-Hui Nie, Tong-Yin Zhu, Sheng-Qun Chen, Bao-Quan Wang, Wei-Lin Wang, Shu-Sen Zheng
OBJECTIVE: To explore the diagnostic value of digital subtraction angiography (DSA) and the effectiveness of endovascular treatment for a post-pancreaticoduodenectomy hemorrhage (PPH). RESULTS: During the DSA examination, positive results were found in 29 patients, yielding a positive rate of 69.0%. The manifestations of the DSA examination included contrast medium extravasation, pseudoaneurysm, and artery walls coarse. All 29 patients with positive results underwent endovascular treatment, including transartery embolization (TAE) in 28 patients and covered stents placement in one patient...
April 27, 2017: Oncotarget
https://www.readbyqxmd.com/read/28503843/the-volume-cost-and-outcomes-of-pancreatic-resection-in-a-regional-centre-in-new-zealand
#7
Neil Wylie, Phillip Hider, Delwyn Armstrong, Sanket Srinivasa, Michael Rodgers, Anna Brown, Jonathan Koea
BACKGROUND: The frequency, costs and outcome of pancreatic resection (both pancreaticoduodenectomy and distal pancreatectomy) were reviewed in our own institution and correlated with regional population growth as well as national resection rates and locations. METHODS: Demographic, pathological and outcome data on pancreaticoduodenectomy and distal pancreatectomy were obtained from a prospectively maintained database for the years 2005-2009 and 2010-2014. During this period, the catchment population grew from 460 000 to 567 000...
May 14, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/28503258/feasibility-of-pancreatectomy-following-high-dose-proton-therapy-for-unresectable-pancreatic-cancer
#8
Kathryn E Hitchcock, R Charles Nichols, Christopher G Morris, Debashish Bose, Steven J Hughes, John A Stauffer, Scott A Celinski, Elizabeth A Johnson, Robert A Zaiden, Nancy P Mendenhall, Michael S Rutenberg
AIM: To review surgical outcomes for patients undergoing pancreatectomy after proton therapy with concomitant capecitabine for initially unresectable pancreatic adenocarcinoma. METHODS: From April 2010 to September 2013, 15 patients with initially unresectable pancreatic cancer were treated with proton therapy with concomitant capecitabine at 1000 mg orally twice daily. All patients received 59.40 Gy (RBE) to the gross disease and 1 patient received 50.40 Gy (RBE) to high-risk nodal targets...
April 27, 2017: World Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/28493073/gastroduodenal-and-pancreatic-surgeries-indications-surgical-techniques-and-imaging-features
#9
REVIEW
Nishant A Patel, Katherine E Maturen, Scott E Regenbogen, Mahmoud M Al-Hawary, Ravi K Kaza, Ashish P Wasnik
This review article focuses on gastroduodenal and pancreatic surgeries with the goal of identifying radiologic findings that translate to important surgical considerations. The topics covered include partial gastrectomy with reconstruction techniques, total gastrectomy, pancreaticoduodenectomy, and pancreaticojejunostomy. Indications, contraindications, surgical techniques, and postoperative imaging are described within each of these topics. Knowledge of these surgical techniques is extremely helpful for the interpreting radiologists to identify expected postoperative anatomy and related complications that would remain clinically relevant to our surgical colleagues and direct timely patient management...
May 10, 2017: Abdominal Radiology
https://www.readbyqxmd.com/read/28490042/reply-to-different-ideas-of-nodal-grouping-in-standard-and-extended-lymphadenectomy-during-pancreaticoduodenectomy-for-pancreatic-head-cancer
#10
Jin-Young Jang, Mee Joo Kang, Sun-Whe Kim
No abstract text is available yet for this article.
June 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28489840/-pancreaticoduodenectomy-for-a-solid-pseudopapillary-tumor-of-the-pancreas-in-children
#11
Carolina Paz Soldán Mesta, José De Vinatea, Fernando Revoredo Rego, Gustavo Reaño, Luis Villanueva, Fritz Kometter, Jorge Tang, Mónica Uribe, Victor Casquero Montes, Carlos Paz Soldán Oblitas, José Arenas
The solid pseudopapillary tumor of the pancreas (SPT) is a rare neoplasm with low malignant potential in children. We report the case of a 9 years old child with a SPT localized in the pancreatic head. She underwent a pancreaticoduodenectomy (PD) with favorable evolution. The PD in high-volume centers is safe in both adults and children.
January 2017: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
https://www.readbyqxmd.com/read/28486387/minimally-invasive-versus-open-pancreaticoduodenectomy-a-propensity-matched-study-from-a-national-cohort-of-patients
#12
Ibrahim Nassour, Sam C Wang, Alana Christie, Mathew M Augustine, Matthew R Porembka, Adam C Yopp, Michael A Choti, John C Mansour, Xian-Jin Xie, Patricio M Polanco, Rebecca M Minter
OBJECTIVE: To compare the perioperative outcomes of minimally invasive pancreaticoduodenectomy (MIPD) in comparison with open pancreaticoduodenectomy (OPD) in a national cohort of patients. BACKGROUND: Limited well-controlled studies exist comparing perioperative outcomes between MIPD and OPD. METHODS: Patients who underwent MIPD and OPD were abstracted from the 2014 to 2015 pancreas-targeted American College of Surgeons National Surgical Quality Improvement Program...
May 8, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28486291/different-ideas-of-nodal-grouping-in-standard-and-extended-lymphadenectomy-during-pancreaticoduodenectomy-for-pancreatic-head-cancer
#13
Salvatore Paiella, Giovanni Butturini, Claudio Bassi
No abstract text is available yet for this article.
June 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28484196/a-case-of-an-intractable-duodenal-ulcer-associated-with-a-pancreatic-arteriovenous-malformation
#14
Shotaro Inoue, Tetsuya Ueo, Hirotoshi Yonemasu, Tetsuya Ishida, Masahide Fukuda, Kazumi Togo, Yuka Yanai, Hideyasu Nagamatsu, Ryoichi Narita, Kazunari Murakami
A 62-year-old man with epigastralgia was referred to our hospital for the evaluation of an intractable duodenal ulcer, which did not improve following proton pump inhibitor treatment. An upper gastrointestinal endoscopy revealed that the base of the ulcer was gray-white in color with conspicuous fibrosis tissue, unlike the appearance of common ulcers. A contrast-enhanced abdominal CT scan and angiography revealed tortuous and dilated vascular structures in the pancreatic head. This was diagnosed as a pancreatic arteriovenous malformation...
2017: Nihon Shokakibyo Gakkai Zasshi, the Japanese Journal of Gastro-enterology
https://www.readbyqxmd.com/read/28469698/the-impact-of-preoperative-etiology-on-emergent-pancreaticoduodenectomy-for-non-traumatic-patients
#15
Chun-Yi Tsai, Bo-Ru Lai, Shang-Yu Wang, Chien-Hung Liao, Yu-Yin Liu, Shih-Ching Kang, Chun-Nan Yeh, Yi-Yin Jan, Ta-Sen Yeh
BACKGROUND: Emergent pancreaticoduodenectomy is a life-saving procedure in certain clinical scenarios when all the conservative treatment fails. The indications can be limited into perforation and bleeding. To clarify the impact of etiology on surgical outcomes of emergent pancreaticoduodenectomy for non-trauma, we analyzed our patients and performed a literature review. METHODS: We reviewed 931 consecutive pancreaticoduodenectomies performed at our institute between January 2001 and July 2015...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28466004/are-internal-or-external-pancreatic-duct-stents-the-preferred-choice-for-patients-undergoing-pancreaticoduodenectomy-a-meta-analysis
#16
REVIEW
Yajie Zhao, Jianwei Zhang, Zhongmin Lan, Qinglong Jiang, Shuisheng Zhang, Yunmian Chu, Yingtai Chen, Chengfeng Wang
The technique of pancreatic duct stenting during pancreatic anastomosis can markedly reduce the incidence of postoperative pancreatic fistula (PF) after pancreaticoduodenectomy (PD). The method of drainage includes using either an external or an internal stent; the meta-analysis result shows us that there were no differences in the rates of postoperative complications between PD using internal stents and PD using external stents; internal stents may be more favorable during postoperative management of drainage tube...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28465787/endoscopic-assessment-and-management-of-sporadic-duodenal-adenomas-the-results-of-single-centre-multidisciplinary-management
#17
Kheman Rajkomar, Michelle Kweon, Imran Khan, Paul Frankish, Michael Rodgers, Jonathan B Koea
AIM: To review the role of multidisciplinary management in treating sporadic duodenal adenomas (SDA). METHODS: SDA managed at North Shore Hospital between 2009-2014 were entered into a prospective database. Pathology, endoscopic and surgical management as well as follow up were reviewed. RESULTS: Twenty-eight patients (14 male: Median age 68 years) presented with SDA [18 were classified as non ampullary location (NA), 10 as ampullary location (A)]...
April 16, 2017: World Journal of Gastrointestinal Endoscopy
https://www.readbyqxmd.com/read/28465259/clinical-effect-of-pancreaticojejunostomy-with-a-long-internal-stent-during-pancreaticoduodenectomy-in-patients-with-a-main-pancreatic-duct-of-small-diameter
#18
Tomohisa Yamamoto, Sohei Satoi, Hiroaki Yanagimoto, Satoshi Hirooka, So Yamaki, Hironori Ryota, Masaya Kotsuka, Yoichi Matsui, Masanori Kon
BACKGROUND: Post-operative pancreatic fistula (POPF) is one of the most common causes of death following pancreaticoduodenectomy (PD). The aim of this study was to evaluate the clinical effect of a long-internal stent on the development of POPF in patients with a main pancreatic duct diameter of 3 mm or less. STUDY DESIGN: Patients (N = 108) with a main pancreatic duct (≤3 mm) who underwent PD were included in this single-institution historical control study...
April 29, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28464579/-clinical-study-on-the-relationship-between-pancreatic-fistula-and-the-degree-of-pancreatic-fibrosis-after-pancreatic-and-duodenal-resection
#19
M W Yang, Y Deng, T Huang, L D Zhang
Objective: To explore the risk factors of pancreatic fistula after pancreatoduodenectomy and its relationship with pancreatic fibrosis. Methods: Retrospective analysis was made including 408 patients who underwent pancreaticoduodenectomy from January 2013 to December 2015 in Department of Hepatobiliary Surgery of the First Affiliated Hospital of Third Military Medical University. There were 274 males and females, aging from 14 to 82 years with an average age of 54.6 years. Postoperative pathological diagnosis: 285 cases with pancreatic ductal adenocarcinoma, 81 cases with gastrointestinal tumors, 13 cases with neuroendocrine tumors, 16 cases with inflammatory changes, 8 cases with pancreatic papillary tumors, 4 cases with serous cystadenoma, 1 case with retroperitoneal liposarcoma...
May 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/28464578/-prognostic-factors-of-postoperative-delayed-gastric-emptying-after-pancreaticoduodenectomy-a-predictive-model
#20
H T Tan, Y Zong, Z Q Zhao, L F Wu, J Liu, B Sun, H C Jiang
Objective: To study the prognostic factors of delayed gastric emptying(DGE) after pancreaticoduodenectomy(PD) and construct a prognostic predictive model for clinical application. Methods: Clinic data of 401 consecutive patients who underwent PD between January 2012 and July 2016 in the First Affiliated Hospital of Harbin Medical University were retrospectively collected and analyzed. The patients were randomly selected to modeling group(n=299) and validation group(n=102) at a ratio of 3∶1. The data of modeling group were subjected to univariate and multivariate analysis for prognostic factors and to construct a prognostic predictive model of DGE after PD...
May 1, 2017: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
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