Background: Pancreaticoduodenectomy is a standard procedure for periampullary tumours. Pancreatic anastomosis the Achilles heel of with significant leak rate and associated high morbidity. We adopted modified pancreatic stump drainage pancreato-gastrostomy - mobilization invagination into lumen stomach via posterior gastrotomy fixation two U shaped sutures to wall traversing across parenchyma.Â

A 65-year old man presented with a six-month history of loss of appetite. Clinical examination was unremarkable. Initial endoscopy was reported to be normal. Ultrasound scan of the abdomen showed a dilated common bile duct with no gall bladder calculi. Serum alkaline phosphatase was raised (630.2 U/L). Duodenoscopy with a side-viewing scope (TJF-160R Olympus) revealed a periampullary growth han...

Abstract Objectives Assess MDCT accuracy in staging cancers periampullary cancers. Introduction Periampullary malignancies are highly aggressive with poor outcomes. Surgery is the only curative option. It crucial to define patients who can advantage from a Whipple’s resection and avoid. Methodology Results RCT investigated randomly 28 over 15 months. The were sub-divided into 2 groups. Group A,...

Multiple stones, a periampullary diverticulum, and advanced patient age are factors that contribute to difficulty in stone removal [1]. We were able to completely remove the bile duct stones in a 93-year-old woman with a periampullary diverticulum, multiple stones (about 100), and common bile duct of 35mm in diameter using the large-balloon occupation technique (LBOT). The patient visited our h...

UNLABELLED Pancreaticoduodenectomy is the procedure of choice for tumors of the pancreatic head and periampullary region. During pancreaticoduodenectomy, early neck division may be inadequate in case of hepatic artery anatomic variants, suspected involvement of the superior mesenteric vessels or intraductal papillary mucinous neoplasms. MATERIAL AND METHODS We describe our early approach to t...