Brunnoma, is a benign tumor of duodenal wall. Usually present with anaemia. Endoscopy stomach and duodenum gives the diagnosis. Pedunculated lesion best managed by endoscopic snare cautery excision. Lesion close to pylorus makes endoscopy difficult. Hence mini-laparotomy, trans-gastric three port endo-luminal harmonic excision was done safely. Keyword: brunnoma, anaemia, endoluminal surgery

We report a case of villous adenocarcinoma of duodenum arising from the ampulla of Vater with a review of the literature. Although preoperative endoscopic biopsies were performed, no malignancy was identified. Because of the pathological uncertainty we decided to perform a pylorus-preserving pancreatoduodenectomy. Microscopic examination demonstrated glandular dysplasia with aspects of villous ...

BACKGROUND The aim of this meta-analysis was to compare the long-term survival, mortality, morbidity and the operation-related events in patients with periampullary and pancreatic carcinoma undergoing pylorus-preserving pancreaticoduodenectomy (PPPD) and pylorus-resecting pancreaticoduodenectomy (PRPD). METHOD A systematic search of literature databases (Cochrane Library, PubMed, EMBASE and W...

the aim of the study was to study the anti-ulcer activity of the methanolic extract of the leaves of capparis zeylanica linn on experimental animal models. the methanol extract of capparis zeylanica linn. leaves was investigated for anti-ulcer activity against aspirin plus pylorus ligation induced gastric ulcer in rats. hcl-ethanol induced ulcer in mice and indomethacin induced ulcer in rats at...

â  the ampulla of vater is commonly located in the posteromeâ­dial wall of the second portion of the duodenum. at times, the ampulla of vater may be found at uncommon sites such as the third and fourth portions of the duodenum, the duodenal bulb and the stomach. we found the ampulla of vater in the pyloric channel in a 44 year old patient who had undergone surgery for acute cholecystitis. an in...