Publications by authors named "Arachchige Ponweera"
Background & Aims: Currently, most patients with branch duct intraductal papillary mucinous neoplasms (BD-IPMN) are offered indefinite surveillance, resulting in health care costs with questionable benefits regarding cancer prevention. This study sought to identify patients in whom the risk of cancer is equivalent to an age-matched population, thereby justifying discontinuation of surveillance.
Methods: International multicenter study involving presumed BD-IPMN without worrisome features (WFs) or high-risk stigmata (HRS) at diagnosis who underwent surveillance.
Article Synopsis
- The study reviews the shift in treatment methods for cerebral aneurysms over the past decade, noting a significant decline in surgical clipping cases, with only 25 performed annually compared to over 150 pre-ISAT.
- A retrospective analysis was conducted on 47 patients who underwent surgical clipping between 2012 and 2013, revealing a high success rate with 90% achieving satisfactory aneurysm obliteration post-procedure.
- The outcomes suggest that while current surgical cases are more complex due to the prevalence of challenging lesions, a good outcome was still observed in a majority of patients, indicating effective surgical intervention remains viable.