AIM To benchmark severity of complications using the Accordion Severity Grading System (ASGS) in patients undergoing operation for severe pancreatic injuries. METHODS A prospective institutional database of 461 patients with pancreatic injuries treated from 1990 to 2015 was reviewed. One hundred and thirty patients with AAST grade 3, 4 or 5 pancreatic injuries underwent resection (pancreatodu...

BACKGROUND Adenoma is the most common cause of duodenal polyps, while hamartomas are very rare. We present a patient with a preoperative histology proved diagnosis of isolated duodenal tubulovillous adenomatous polyp with high-grade dysplasia for whom we performed laparoscopic antrectomy. CASE REPORT The patient was a 56-year-old male with vague upper abdominal pain. Investigations revealed a...

OBJECTIVE To validate preoperative dynamic CT and fecal elastase-1 level in predicting the development of pancreatic fistulae after pancreatoduodenectomy. MATERIALS AND METHODS For 146 consecutive patients, CT attenuation values of the nontumorous pancreatic parenchyma were retrospectively measured on precontrast, arterial and equilibrium phase images for calculation of enhancement ratios. CT...

INTRODUCTION The treatment of pancreatic cancer is a complex problem, due to late diagnosis, the need for specialized surgical treatment, the large number of relapses and poor survival. OBJECTIVE To evaluate the quality of life of patients with periampulary pancreatic cancer before and after pancreatoduodenectomy (PD). MATERIAL & METHOD The sample was collected in the "Attikon" University G...

Background. The aim of the study was to compare two invagination techniques for pancreatojejunostomy after pancreatoduodenectomy. Methods. For effective prevention of the development of pancreatic leakage, we modified invagination technique that we term the "serous touch." We analysed the diameter of the main pancreatic duct, the texture of the remnant pancreas, the method of the reconstruction...

Background: Treatment with pancreatic enzymes is necessary to improve nutrient digestion and prevent malabsorption deficiencies in patients exocrine insufficiency (EPI) after pancreatoduodenectomy. Aim of this study was identify the optimal dosage EPI pancreatoduodenectomy evaluate if are treated adequately. Methods: A systematic review performed PubMed, EMBASE Cochrane library. They were searc...

Background: Advances in surgical technique and increase in surgeon’s experience have made total laparoscopic pancreatoduodenectomy (TLPD) a substantially safer procedure. This study aimed to report our successful experiences of TLPD for the treatment of duodenal papilla carcinoma. Methods: Retrospective review of 4 patients who underwent TLPD between November 2013 and December 2014 was performe...

conclusions according to the results, there was a direct correlation between access to physical space in ed and waiting time. in addition, improving the physical access did not necessarily result in shorter waiting time. therefore, to improve triage process, improvement of waiting time indices, and modifying forms of work process in ed are recommended. results the correlation between the waitin...

Background: One of the most common complications after partial pancreaticoduodenectomy or pylorus-preserving pancreatoduodenectomy is delayed gastric emptying, which associated with a reduction quality life, longer hospital stay and higher costs. The aim this retrospective study, was to assess whether an intraoperative endoluminal pyloromyotomy during prior duodenojejunostomy reduces rate empty...