Pancreatobiliary versus intestinal histologic type of differentiation is an independent prognostic factor in resected periampullary
With the aim to minimize rate of mortality senior doctors have come up with Superior Approach Technique (SAT) for the treatment of periampullary
and pancreatic head tumors which claims hundreds of lives in the valley each year.
Increased integrity of free circulating DNA in sera of patients with colorectal or periampullary
cancer: direct quantitative PCR for ALU repeats.
We here report a case of agenesis of dorsal pancreas in a patient of periampullary
carcinoma and highlight the implications of this embryological anomaly on the management.
Ampullary tumours are benign or malignant tumours in the ampulla of Vater and periampullary
Written by specialists mainly in Europe, Japan, and the US (some are in Australia, New Zealand, and India), the material is divided into discussion of anatomy, physiology, acute pancreatitis, chronic pancreatitis, neoplastic lesions, endocrine tumors, periampullary
tumors, other tumors, and transplantation.
Tuesday, May 22 -- Efficacy of WallFlex(R) Enteral Stent in Malignant Gastric Outlet Obstruction This prospective, open, multicenter clinical trial involving 51 patients studied the efficacy of the WallFlex(R) Enteral Stent in patients who had symptoms from malignant gastro-duodenal obstruction due to incurable distal gastric, periampullary
or duodenal malignancy.
Results: Seven patients were identified over 6 years, representing five different clinical entities: metachronous presence of lung cancer and pancreatic cancer (n = 3), lung cancer metastatic to the pancreas (n = 1), lung cancer with a benign pancreatic neoplasm (n = 1), periampullary
cancer metastatic to the lung (n = 1), and malignant melanoma metastatic to both lung and pancreas (n = 1).
Approximately two thirds of these arise in the gallbladder, while the remainder originate from the bile ducts and periampullary
Adjuvant radiotherapy and 5-fluorouracil after curative resection of cancer of the pancreas and periampullary
region: phase III trial of the EORTC gastrointestinal tract cancer cooperative group.
On palpation of the third part of duodenum, a periampullary
diverticulum was identified, although it was not bleeding.
In summary, this case report shows that the typical findings for carcinoma of the pancreas and periampullary
area such as painless obstructive jaundice, a pai nful enlarged gall bladder, and abdominal pain with radiation to the back may not be present.