[Building a private high-volume center for pancreatic resection].

Introduction: There is considerable evidence on the direct relationship between higher volume and lower mortality in the pancreatoduodenectomy (DPC). However, there is little evidence of morbidity and mortality in the process of building a high-volume pancreatic surgery center. Objective.

Changes in gastrosplenic circulation and splenic function after distal pancreatectomy with spleen preservation and splenic vessel excision.

Introduction: Distal pancreatectomy with spleen preservation and splenic vessel excision is a commonly used technique. However, it produces significant gastrosplenic circulation and splenic function changes.

Purpose: The aim of this work was to determine the immediate consequences on gastrosplenic circulation, late consequences on splenic function, and development of varicose veins.

Early oral feeding versus traditional postoperative care after abdominal emergency surgery: a randomized controlled trial.

Background: Early oral feeding (EOF) has been demonstrated to be safe and beneficial after abdominal elective surgery. The aim of this randomized controlled trial is to assess the safety and benefits of EOF compared to traditional postoperative care (TPC) after abdominal emergency surgery.

Methods: Patients assigned to the EOF group commenced a soft diet within 24 h after surgery.

Autoimmune cholangitis associated to IgG4 related sclerosing disease.

The IgG4-related sclerosing disease is characterized by the presence of plasmatic IgG4 positive cells and T-lymphocytes infiltration in different organs. We herein report a case of cholestasis due to autoimmune cholangitis associated to IgG4 disease. A 40-year-old woman with a history of pruritus, anosmia, Sjögren's syndrome and diabetes, was referred for a pancreatic tumor.

Minimally invasive management of acute biliary tract disease during pregnancy.

Background: Acute biliary diseases during pregnancy have been classically managed conservatively. Advances in minimally invasive surgery and the high recurrence rate of symptoms observed changed this management.

Methods: This is a prospective observational study.

Computed tomographic prognostic factors for predicting local complications in patients with pancreatic necrosis.

Unlabelled: This prospective study aimed at evaluating dynamic computed tomography (CT) as a prognostic indicator of local complications in patients with pancreatic necrosis.

Methods: We analyze the relationship between the anatomic pattern of pancreatic necrosis at dynamic CT (pancreatic necrosis, peripancreatic necrosis, and transparenchymal necrosis) and the development of local complications (infected pancreatic necrosis and pseudocyst).

Results: One hundred thirty-eight patients were included in the study.

[Pleural effusion is superior to multiple factor scoring system in predicting acute pancreatitis outcome].

Introduction: there are many studies about prognostic scores in acute pancreatitis but the best one has yet to be determined.

Objective: to analyze the pleural effusion (diagnosed by ultrasound) as a prognostic factor and to compare it with three multiple criteria scores (RANSON, APACHE II, APACHE II O).

Patients And Methods: all patients with acute gallstone pancreatitis were included in the study during the period 2002-2006.

[Single-stage management of common duct stones by video-assisted laparoscopy. Analysis of 10 years' experience].

Introduction: The management of patients with gallstone disease and ductal calculi is controversial. The main options are one-stage or two-stage management.

Material And Method: We performed a retrospective analysis of the experience gained over 10 years in the one-stage management of common duct stones in a high-volume tertiary hospital.

Treatment of acute pancreatic pseudocysts after severe acute pancreatitis.

Treatment of acute pancreatic pseudocysts (APP) after an episode of severe acute pancreatitis (SAP) remains controversial. Both population heterogeneity and limited numbers of patients in most series prevent a proper analysis of therapeutic results. The study design is a case series of a large, tertiary referral hospital in the surgical treatment of patients with APP after SAP.

Early endoscopic intervention versus early conservative management in patients with acute gallstone pancreatitis and biliopancreatic obstruction: a randomized clinical trial.

Objective: To test the hypothesis that early endoscopic intervention, performed on patients with acute gallstone pancreatitis and biliopancreatic obstruction, reduces systemic and local inflammation.

Summary Background Data: The role of early endoscopic intervention, in the treatment of acute gallstone pancreatitis, remains controversial. Previous randomized trials have not focused on the subgroup of patients with clinical evidence of biliopancreatic obstruction.