20,769 results match your criteria pancreas duodenal


Two cases of pancreaticoduodenal aneurysm with median arcuate ligament syndrome treated with coil embolization and median arcuate ligament incision.

Radiol Case Rep 2022 Oct 1;17(10):3663-3668. Epub 2022 Aug 1.

Department of Radiology and Nuclear Medicine, Fukushima Medical University, 1 Hikariga-oka, Fukushima 960-1295, Japan.

Median arcuate ligament syndrome is a clinical condition in which the median arcuate ligament causes compression and narrowing of the celiac artery. It has been reported that collateral pathways, which is developed by the decrease of blood flow from the celiac artery, facilitates the formation of aneurysms. Aneurysms around the pancreas in particular require aggressive therapeutic intervention, because a rupture can be fatal. Read More

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October 2022

Standardized right artery first approach during laparoscopic pancreaticoduodenectomy for periampullary neoplasms: technical aspects and perioperative outcomes.

Surg Endosc 2022 Aug 3. Epub 2022 Aug 3.

Division of Oncologic and Mini-Invasive General Surgery, ASST Grande Ospedale Metropolitano Niguarda, Piazza Dell'Ospedale Maggiore, 3, 20162, Milan, Italy.

Background: The most debated aspects of laparoscopic pancreaticoduodenectomy (LPD) concern the dissection of the pancreas from the surrounding vessels and the achievement of adequate resection margins, especially in patients with pancreatic cancer.

Methods: Data of consecutive patients undergoing LPD with right artery first approach from September 2020 to September 2021 for periampullary neoplasms (pancreatic, ampullary, duodenal, distal common biliary duct) were prospectively collected and retrospectively analyzed. The overall cohort was divided into two groups: patients affected by pancreatic carcinoma (PC) and patients affected by other periampullary neoplasms (OP). Read More

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Recurrent Cytomegalovirus Infection Controlled by the Introduction of Everolimus in a Simultaneous Pancreas-Kidney Transplantation Recipient: A Case Report.

Transplant Proc 2022 Jul 29. Epub 2022 Jul 29.

Department of Surgery, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

In simultaneous pancreas-kidney transplantation (SPK) recipients, cytomegalovirus (CMV) infection is a major complication that has been associated with the use of tacrolimus (TAC)-based immunosuppression. As one of the immunosuppressive drug options, the use of mammalian target of rapamycin inhibitors (mTORi) results in reduced rates of CMV infection in the field of solid organ transplantation. However, little is known about mTORi usage in pancreas transplantation. Read More

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Indocyanine green for targeted imaging of the gall bladder and fluorescence navigation.

J Biophotonics 2022 Jul 29:e202200142. Epub 2022 Jul 29.

Scientific Research Center and Precision Medical Institute, The Second Affiliated Hospital, Xi'an Jiaotong University, Xi'an, China.

Researchers nowadays have devoted extra attention to the different biomedical applications of indocyanine green (ICG), a US Food and Drug Administration-approved fluorescent compound in the fields such as drug delivery, medical imaging and disease diagnosis. In addition, hepatic function evaluation could be conducted by using ICG before surgical procedures and angiographic assessment of blood. Therefore, ICG will be expected to be excellent imaging and targeting agent in various preclinical and clinical model systems. Read More

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A Practical Workflow for MR-Guided Stereotactic Body Radiation Therapy to the Pancreas.

Pract Radiat Oncol 2022 Jul 25. Epub 2022 Jul 25.

Department of Radiation Oncology, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL. Electronic address:

The increased adoption of stereotactic body radiation therapy (SBRT) has allowed for delivery of higher doses, potentially associated with better outcomes, but at the risk of higher toxicity. The intimate association of radiosensitive organs at risk (e.g. Read More

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Panorama of multidetector-row computed tomography findings of carcinoma gall bladder - A retrospective observational study.

J Cancer Res Ther 2022 Apr-Jun;18(3):661-667

Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Background: Carcinoma of the gall bladder (Ca GB) has marked ethnic and geographical variations with a broad spectrum of imaging findings on multidetector-row computed tomography (MDCT). We aim to study the spectrum of the imaging findings of Ca GB on MDCT in an Eastern Indian hospital as these imaging findings help in accurate diagnosis and staging of this lethal disease.

Materials And Methods: The MDCT images of 100 biopsy-proven cases of adenocarcinoma of GB performed from January 1, 2017, to December 31, 2018, in our hospital were retrospectively reviewed by two experienced radiologists blinded to the diagnosis. Read More

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Dao-Chi Powder Ameliorates Pancreatitis-Induced Intestinal and Cardiac Injuries Regulating the Nrf2-HO-1-HMGB1 Signaling Pathway in Rats.

Front Pharmacol 2022 11;13:922130. Epub 2022 Jul 11.

Department of Integrated Traditional Chinese and Western Medicine, West China Hospital, Sichuan University, Chengdu, China.

Dao-Chi powder (DCP) has been widely used in the treatment of inflammatory diseases in the clinical practice of traditional Chinese medicine, but has not been used in acute pancreatitis (AP). This study aimed to evaluate the effect of DCP on severe AP (SAP) and SAP-associated intestinal and cardiac injuries. To this end, an SAP animal model was established by retrograde injection of 3. Read More

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Pancreatico-Gastrostomy: A Modified Two-Layered Technique.

Cureus 2022 Jun 23;14(6):e26227. Epub 2022 Jun 23.

Surgical Oncology, Government Cancer Hospital, Aurangabad, IND.

Introduction: Pancreato-duodenal resections are commonly done for periampullary carcinomas. The outcome of the procedure is decided by pancreato-enterostomy. Pancreato-jejunostomy (PJ) has been employed largely as pancreato-enterostomy. Read More

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Mesenteric approach in pancreas-preserving partial duodenectomy for aortic graft-duodenal fistula: a case report.

Clin J Gastroenterol 2022 Jul 25. Epub 2022 Jul 25.

Department of Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3, Minami-ku, Hiroshima, 734-8551, Japan.

An aortic graft-duodenal fistula commonly requires graft replacement and duodenectomy. However, the appropriate surgical approach to the duodenum with aortic graft fistula remains unclear. Herein, we describe the case of an 85-year-old male patient who underwent a pancreas-preserving partial duodenectomy using the mesenteric approach for aortic graft-duodenal fistula. Read More

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Spontaneous passage of an impacted gallstone at the ampulla of Vater: "Laying-an-egg" sign.

Authors:
A Hokama

Rev Gastroenterol Mex (Engl Ed) 2022 Jul-Sep;87(3):384-385. Epub 2022 Jul 22.

Departamento de Endoscopia, Escuela de Medicina de Posgrado, Universidad de Ryukyus, Okinawa, Japan. Electronic address:

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The "Hand as Foot" teaching method in pancreas and duodenum anatomy.

Asian J Surg 2022 Jul 22. Epub 2022 Jul 22.

Department of Gastrointestinal Surgery, Binzhou Medical University Hospital, Binzhou, Shandong Province, China. Electronic address:

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Endoscopic therapy for recurrent pancreatitis complicated with pancreatolithiasis in a case of annular pancreas.

DEN open 2022 Apr 21;2(1):e122. Epub 2022 Apr 21.

Division of Gastroenterology and Hepatology Toho University Omori Medical Center Tokyo Japan.

Annular pancreas is a congenital abnormality in which part of the pancreatic head completely or partially surrounds the duodenum in a ring-like manner. The condition is thought to be an abnormality of the ventral pancreatic bud. While pancreatitis is a common complication of the annular pancreas, its recurrence may be prevented by improving the outflow of pancreatic juice. Read More

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Duodenal Heterotopic Pancreas with a Large Retention Cyst: A Case Report and Literature Review.

Intern Med 2022 Jul 22. Epub 2022 Jul 22.

Department of Surgery, Shizuoka General Hospital, Japan.

A 75-year-old man was referred to our hospital with a suspected pancreatic cyst. Imaging tests revealed a 3-cm cystic lesion located ventrally in the duodenal bulbus, which was suspected to be a duplication cyst with its muscularis propria contiguous to that of the duodenum. One year later, the cyst grew to 6 cm due to intracystic hemorrhaging; therefore, surgery was performed. Read More

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Pancreas-preserving partial duodenectomy for non-ampullary duodenal neoplasms: three case reports.

Surg Case Rep 2022 Jul 23;8(1):138. Epub 2022 Jul 23.

Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, 1-1 Hasama-machi, Yufu, Oita, 879-5593, Japan.

Background: There are multiple surgical procedures for resecting non-ampullary duodenal neoplasms (NADNs), and the appropriate method is selected depending on the tumor location and diagnosis. We herein report 3 cases of NADNs that were resected using pancreas-preserving partial duodenectomy (PPD).

Case Reports: The first patient, a 73-year-old woman with a circumferential duodenal adenoma in the supra-ampullary duodenum, underwent surgery. Read More

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A phase 2 trial of deep-inspiration breath hold in radiotherapy of gastric lymphomas.

Phys Imaging Radiat Oncol 2022 Apr 16;22:137-141. Epub 2022 May 16.

Dept. of Oncology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Background And Purpose: Radiotherapy (RT) is an important part in the treatment of gastric lymphomas and the prognosis after radiotherapy is very good with a good chance of long-term survival, so prevention of long-term adverse effects is important. In patients with gastric lymphomas cardiac late effects are of most concern. The aim of this study was to assess if the dose to the heart could be reduced with deep inspiration breath-hold (DIBH) without compromising the dose to the target or increasing the risk of other late effects. Read More

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Principles of enhanced recovery in gastrointestinal surgery.

Langenbecks Arch Surg 2022 Jul 21. Epub 2022 Jul 21.

Department of Visceral Surgery, Lausanne University Hospital CHUV and University of Lausanne UNIL, Lausanne, 1011, Switzerland.

Background: To reduce the impact of surgery-related stress, enhanced recovery after surgery (ERAS) pathways have been developed since over 15 years with subsequent improved postoperative outcome. This multimodal and evidence-based perioperative approach has spread to all fields of gastrointestinal surgery, from esophagus, stomach, duodenum and pancreas, liver, small intestine and colon, and rectum, as well as for other specialties like vascular and cardia surgeries or neurosurgery, among others.

Purpose: The aim of this state-of-the-art article is to assess current state of evidence on perioperative management specifically in gastrointestinal surgery, with a focus on surgery-related aspects, outcome benefit, and future directions. Read More

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Outcome of Whipple's procedure for Groove pancreatitis: A retrospective cross-sectional study.

Ann Med Surg (Lond) 2022 Jul 17;79:104008. Epub 2022 Jun 17.

Department of Gastroenterology, School of Digestive and Liver Diseases, Institute of Postgraduate Medical Education and Research, 244 A. J. C. Bose Road, Kolkata, 700020, West Bengal, India.

Background: Groove pancreatitis (GP) is a rare form of chronic pancreatitis primarily affecting the pancreatoduodenal groove. Very few studies have been published from India. The aim of the present study is to report our experience with Whipple's procedure for GP. Read More

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Laparoscopic duodenum-preserving pancreatic head resection with real-time indocyanine green guidance of different dosage and timing: enhanced safety with visualized biliary duct and its long-term metabolic morbidity.

Langenbecks Arch Surg 2022 Jul 19. Epub 2022 Jul 19.

The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Institute of Basic Medicine and Cancer (IBMC), Chinese Academy of Sciences, Hangzhou, 310022, Zhejiang, China.

Purpose: Laparoscopic duodenum-preserving pancreatic head resection (L-DPPHR) is technically demanding with extreme difficulty in biliary preservation. Only a few reports of L-DPPHR are available with alarming bile leakage, and none of them revealed the long-term metabolic outcomes. For the first time, our study explored the different dosage and timing of indocyanine green (ICG) for guiding L-DPPHR and described the long-term metabolic results. Read More

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Bifid Pancreatic Tail: an Anatomical Case Series and their Classification.

Folia Med (Plovdiv) 2021 Dec;63(6):994-999

State University of Medicine and Pharmacy "Nicolae Testemitanu", Chisinau, Moldova.

Anomalies and variants of development of the pancreas are relatively frequent. Bifid pancreatic tail is a rare anatomic variation with only a few cases reported in the literature. The present case series were encountered during dissection of 50 anatomical specimens of the pancreas, spleen, and duodenum. Read More

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December 2021

Automatic Contour Refinement for Deep Learning Auto-segmentation of Complex Organs in MRI-guided Adaptive Radiation Therapy.

Adv Radiat Oncol 2022 Sep-Oct;7(5):100968. Epub 2022 Apr 20.

Department of Radiation Oncology, Medical College of Wisconsin, Milwaukee, Wisconsin.

Purpose: Fast and accurate auto-segmentation on daily images is essential for magnetic resonance imaging (MRI)-guided adaptive radiation therapy (ART). However, the state-of-the-art auto-segmentation based on deep learning still has limited success, particularly for complex structures in the abdomen. This study aimed to develop an automatic contour refinement (ACR) process to quickly correct for unacceptable auto-segmented contours. Read More

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From endoscopic resection to pancreatoduodenectomy: a narrative review of treatment modalities for the tumors of the ampulla of Vater.

Chin Clin Oncol 2022 Jun;11(3):23

General Surgery and Liver Transplantation, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Background And Objective: Tumors of the ampulla of Vater are a rare set of lesions that arise at the confluence of the common bile duct (CBD) and the pancreatic duct. They can be benign or malignant, often not easy to discriminate before treatment. Malignant tumors have low chances of survival (overall 5-year survival between 0% and 60%) and surgery is still the only curative option. Read More

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Mitchell-Riley Syndrome: Improving Clinical Outcomes and Searching for Functional Impact of RFX-6 Mutations.

Front Endocrinol (Lausanne) 2022 22;13:802351. Epub 2022 Jun 22.

Department of Endocrinology, Metabolism and Diabetes, Inserm U1016, Cochin Institute, Paris, France.

Aims/hypothesis: Caused by biallelic mutations of the gene encoding the transcription factor , the rare Mitchell-Riley syndrome (MRS) comprises neonatal diabetes, pancreatic hypoplasia, gallbladder agenesis or hypoplasia, duodenal atresia, and severe chronic diarrhea. So far, sixteen cases have been reported, all with a poor prognosis. This study discusses the multidisciplinary intensive clinical management of 4 new cases of MRS that survived over the first 2 years of life. Read More

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Titanium Clip-dental Floss Traction-assisting Endoscopy in Patients With Difficulty in Cannulation Into the Duodenal Peridiverticular Papilla.

Surg Laparosc Endosc Percutan Tech 2022 08 1;32(4):462-465. Epub 2022 Aug 1.

Department of Hepatobiliary Surgery, Taizhou Hospital, Linhai City, Taizhou, China.

Objective: To assess titanium clip-dental floss traction-assisting endoscopy in patients with difficulty in cannulation into the papilla located at the lower, left or right side of the periampullary diverticulum.

Materials And Methods: Sixty-eight patients who had difficulty in cannulation into the papilla located at the lower, left, or right side of the periampullary diverticulum upon endoscopic retrograde cholangiopancreatography (ERCP) were recruited at Taizhou Hospital from July 2016 to June 2020. A random number table was used to divide the patients into an intervention (with titanium clip-dental floss traction) group and a control group (n=34 in each group). Read More

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The "Hand as Foot" teaching method in the anatomical relationship between pancreas and duodenum.

Authors:
Ying Liu Xin Zhang

Asian J Surg 2022 Jul 2. Epub 2022 Jul 2.

Inner Mongolia University for Nationalities, Laboratory, Affiliated Hospital of Inner Mongolia University for Nationalities, Huolinhe Street, Horqin District, Tongliao, Inner Mongolia, 028000, China. Electronic address:

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Efficacy of Linear Stapler With Polyglycolic Acid Felt for Preventing Graft Duodenal Perforation After Pancreas Transplant.

Exp Clin Transplant 2022 Jun;20(6):595-601

From the Department of Surgery and Oncology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

Objectives: Graft duodenal perforation is a serious complication in pancreas transplantation. The aim of this study was to evaluate whether using a reinforced linear stapler during bench surgery in pancreas transplant affects the risk of graft duodenal perforation.

Materials And Methods: This retrospective study included 47 patients who underwent pancreas transplant at our institution from 2011 to 2020. Read More

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[Combined resection of thoracic and abdominal organ clusters: a series of 50 cases].

Zhonghua Wai Ke Za Zhi 2022 Jun 28;60(8):774-778. Epub 2022 Jun 28.

Transplant Medical Center, the Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, China.

To examine the technique and effect of combined thoracic and abdominal organ clusters resection. From February 2019 to August 2021, totally 50 cases of combined thoracoabdominal organ cluster resection were completed at Transplant Medical Center, the Second Affiliated Hospital of Guangxi Medical University from donation after brain death donors. There were 47 males and 3 females, aging (34. Read More

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CRISPR screening uncovers a central requirement for HHEX in pancreatic lineage commitment and plasticity restriction.

Nat Cell Biol 2022 Jul 4;24(7):1064-1076. Epub 2022 Jul 4.

Developmental Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.

The pancreas and liver arise from a common pool of progenitors. However, the underlying mechanisms that drive their lineage diversification from the foregut endoderm are not fully understood. To tackle this question, we undertook a multifactorial approach that integrated human pluripotent-stem-cell-guided differentiation, genome-scale CRISPR-Cas9 screening, single-cell analysis, genomics and proteomics. Read More

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Total laparoscopic radical antegrade modular pancreato-splenectomy with left-posterior superior mesenteric artery first-approach for distal pancreatic cancer: step-by-step technique with a surgical case report (with video).

World J Surg Oncol 2022 Jul 5;20(1):224. Epub 2022 Jul 5.

Department of Surgery, Thai Binh Medical University, Thai Binh, Vietnam.

Introduction: Left-sided pancreatic cancers are uncommon but seem more aggressive than tumors of pancreatic head. Radical antegrade modular pancreato-splenectomy (RAMPS) was proved to have safe and effective advantages while comparing with standard retrograde pancreato-splenectomy (SRPS) in recent systematic literature reviews and meta-analyses. Laparoscopic SMA first-approach RAMPS was recently proceeded with optimistic perioperative outcomes. Read More

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Hemosuccus Pancreaticus: A Rare Cause of Gastrointestinal Bleeding.

Mymensingh Med J 2022 Jul;31(3):872-875

Professor Md Mohsen Chowdhury, Professor & Head of the Yellow Unit II, Hepatobiliary, Pancreatic & Liver Transplant Surgery Department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh; E-mail:

Hemosuccus pancreaticus or bleeding from the pancreatic duct into the gastrointestinal tract via the ampulla of Vater is caused by rupture of the pseudoaneurysm of a peripancreatic vessel into pancreatic duct or pancreatic pseudocyst in the context of pancreatitis or pancreatic tumour or trauma. It produces diagnostic and therapeutic dilemma due to its anatomical location and that bleeding into the duodenum is intermittent and cannot be easily diagnosed by endoscopy, often needs CE-CT and angiography. In August 2019, a 60-year-old male presented with intermittent abdominal pain, gastrointestinal bleeding and high serum lipase. Read More

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