A 35-year-old female with malabsorption syndrome who underwent a pancreatoduodenectomy for multiple endocrine adenomatosis 13 years prior was admitted to our hospital with diarrhea, general fatigue, high fever, and eruption in the lower legs. The patient had consumed raw shrimp a few days before onset and presented systemic inflammatory response syndrome at the time of hospitalization. Vibrio v...

Pancreatic fistula remains the most dangerous complication after pancreatoduodenectomy. This study aimed to identify operative risk factors for clinically relevant postoperative pancreatic was a prospective multicenter cohort that investigated association between and in 107 patients who underwent pancreatoduodenectomy at three tertiary centers from August 2017 July 2022. The incidence of 26.2%....

OBJECTIVE To review the authors' recent experience and that of the literature since 1973 and to provide management guidelines for true aneurysms of the pancreaticoduodenal arteries (PDA). SUMMARY BACKGROUND DATA True aneurysms of the PDA are rare, with a total of only 52 cases reported since 1973. METHODS Six patients were admitted to the authors' institution between 1985 and 1995 for ruptu...

Presenter: Naruhiko Ikoma MD | The University of Texas Anderson Cancer Center Background: Over the past few decades, robotic surgery techniques required to resect periampullary malignancies have evolved remarkably. However, safety and generalizability pancreatoduodenectomy remain unknown. New pancreatic programs must be implemented thoughtfully ensure safety, every effort should made accelerate...

Postoperative acute pancreatitis (POAP) emerges as a distinct pancreas-specific complication increasing both the risk and burden of POPF after pancreatoduodenectomy. Among various factors, pancreas stump (PS) hypoperfusion might play role in POAP occurrence but has never been investigated. The current study aimed at evaluating feasibility intraoperative fluorescence angiography (IOFA) PS using ...

Koukoutsis et al. [4] subsequently analyzed risk factors in predicting post-operative haemorrhage, particularly secondary haemorrhage, yet they do not provide the raw data to allow an in-depth analysis of these factors, for example the number of patients who had a sentinel bleed but did not have a post-operative bleed, or the total number of patients in the series who had an anastomotic leak. T...

Edwardsiella tarda (E. tarda) is a rare human pathogen; however, the overall mortality of bacteremia is reported to be up to 50%. Here, we describe a case of cholangitis with E. tarda bacteremia who had a pancreatoduodenectomy for a locally advanced gastric cancer. He was successfully treated using a cefmetazole, a second generation cephalosporin for 14 days. To the best of our knowledge, this ...