A 73-year-old womanwas investigated for epigastric pain. Her medical history included coronary heart disease, which was being treated with aspirin 100mg once daily. Esophagogastroduodenoscopy revealed severe inflammation of the antrum and prepyloric region. There was pronounced edema of the pylorus, partially occluding the passage into the duodenal bulb and descending part of the duodenum, both...

Multiple neoplastic lesions at separate gastrointestinal sites is rare with incidence of 0.7-11%. Majority primary neoplasms (MPN's) are double while triple/quadruple malignancies extremely a ratio 2.7:1. Patients periampullary having lesion in stomach or gastroesophageal junction rare. These patients requiring Whipple's pancreaticoduodenectomy (PD) resection the adjoining for R0 Resection rare...

Double pylorus (DP) is a rare condition that is usually discovered incidentally through an upper endoscopy (UE) examination. While acquired DP, which is the most common type, often develops as a complication of peptic ulcer disease (PUD), congenital DP can be isolated associated with other congenital abnormalities such as heterotopic pancreatic tissue or gastric duplication [1, 2]. This article...

BACKGROUND Pancreatoduodenectomy is an established procedure for the treatment of benign and malignant diseases located at the pancreatic head and periampullary region. In order to decrease morbidity and mortality, we devised a unique technique using two different jejunal loops to avoid activation of pancreatic juice by biliary secretion and therefore reduce the severity of pancreatic fistula. ...