Objectives: Chronic pancreatitis, a benign inflammatory process of the pancreas resulting in exocrine and endocrine sufficiency. Pain is most devastating symptom, for which patient seeks medical advice. Even though these problems are addressed medically, surgery indicated many cases intractable pain. Methods: Thirty- patients who managed surgically during November 2018 to October 2020 at our in...

At the Oncology Center at Army Hospital (Research and Referral), New Delhi, the standard procedure of reconstruction after a pancreaticoduodectomy has been a posterior pancreaticogastrostomy. Our technique uses a single posterior gastrotomy on the upturned stomach, irrespective of whether or not the pylorus has been spared. The anastomosis is done in two layers with interrupted nonabsorbable su...

To cite: Dashwood AM, Mason R, Jennings C, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-213564 DESCRIPTION A 31-year-old man with metastatic pancreatic cancer was admitted with acute abdominal pain and distension. He had undergone Whipples surgery 1 year prior for a T3N1b ductal adenocarcinoma of the pancreas and achieved an R1 resection. This was ...

An 84-year-old gentleman presented to the Emergency Department following a fall. He was hypoxic and was diagnosed with a community acquired pneumonia, confirmed on chest radiograph and had an Enterococcus faecalis urinary infection. A Mini Mental State Examination of 15/30 confirmed cognitive impairment. He had treatment resistant prostate cancer with rising prostate specific antigen and metast...