[There is a role for surgical resection in patients with oligometastatic pancreatic cancer].

Objective: The objective of this work is to retrospectively analyze the resection in patients with oligometastatic stage IV pancreatic adenocarcinoma, after first-line chemotherapy for metastatic pancreatic cancer, evaluating the survival of these cases.

Materials And Methods: Between January 2005 and December 2019, 5 patients diagnosed with oligometastatic pancreatic cancer undergoing first-line chemotherapy were retrospectively evaluated, after which resective surgery was performed.

Results: The resective surgery performed in these patients were: three distal pancreatectomies with splenectomy, one duodenopancreatectomy and one total pancreatectomy.

[Knowing an infrequent complication of endoscopic retrograde cholangiopancreatography].

Objective: Describe the clinical and tomographic characteristics in relation to the extra peritoneal distribution of collections and air in patients with periampullary perforation after performing endoscopic retrograde cholangiopancreatography (ERCP) with or without sphincterotomy.

Materials And Methods: Observational, descriptive study in patients with periampullary perforation after ERCP with or without sphincterotomy, treated in the Pancreas Surgery Service at Edgardo Rebagliati Martins Hospital, Lima, Peru between January 2013 and January 2015.

Results: Ten patients with periampullary perforation after ERCP were included.

[Identifying the severe acute pancreatitis].

Aims: To compare patients with acute necrotizing pancreatitis without any additional complications during their hospital stay (Group A) versus patients with Acute Necrotizing Pancreatitis with additional complications during their hospital stay (Group B).

Methods: Data obtained from a pre-existing base from hospitalized patients with diagnosis of acute necrotizing pancreatitis in the specialized unit of "Unidad de Pancreatitis Aguda Grave del Hospital Nacional Edgardo Rebagliati Martins" between 2000 and 2010. Data included patients with diagnosis of acute necrotizing pancreatitis, of ages 18 and over.

[Breaking paradigms in the acute severe pancreatitis: a new vision in the treatment of the disease].

The treatment of the severe acute pancreatitis has changed too fast in the last years and the new tendencies and continuous updates are forcing us to constantly vary the disease management protocols taking into account that what is true for today may prove to be a mistake tomorrow.In the Severe Acute Pancreatitis Unit of Eduardo Rebagliati Martins Hospital we believe there are four paradigms that can change the way we treat the disease.In the Unit we believe that a prophylactic antibiotic therapy is not effective in diminishing the incidence of infected necrosis nor in decreasing the death rate among patients with acute pancreatitis with necrosis, since the works published in the last two years make evident the clear tendency to the inefficiency of this therapy.

[Intrapancreatic mechanical lithotripsy: report and review of the literature of a case in a patient with chronic pancreatitis and lithiasis of Wirsung's duct].

The case of a 34 year-old woman with multiple lithiasis of Wirsung's duct who underwent a modified Puestow's operation is presented. Two (2) months after the surgery, the patient entered with a severe pain chart compatible with acute pancreatitis as a result of chronic pancreatitis. A very large lithiasis is observed in the head of the pancreas.

Total enteral nutrition as prophylactic therapy for pancreatic necrosis infection in severe acute pancreatitis.

Objective: To evaluate the capacity of enteral nutrition, in comparison with the total parenteral nutrition (TPN) plus antibiotic therapy, for avoiding pancreatic necrosis infection in the severe acute pancreatitis.

Methods: In the period between October 1998 and September 2003, 87 patients met the inclusion criteria and took part in this research. Within the first week from their admission, 43 patients received TPN and 44 patients received total enteral nutrition (TEN).

[Transduodenal ampullectomy: an useful alternative for the treatment of Vater's ampulla lesions. Case reports of an unfrecuent surgical technique].

The Vater's ampulla neoplasias are not very frequent lesions. The ampullectomy consists on the total resection of the Vater's ampulla and part of the duodenal wall with the later reconstruction and anastomosis of the common bile duct and the Wirsung's duct to the duodenum. The local resection of the ampulla is an alternative to the duodenopancreatectomy that has to be taken into account, especially in benign lesions as in the case of adenomas of the Vater's ampulla.

[Surgical technique for the treatment of the serious acute necrotic pancreatitis in the National Hospital Edgardo Rebagliati Martins].

A surgical technique for the treatment of severe acute pancreatitis with necrosis is presented as an alternative in the surgical treatment of this pathology; 60 patients underwent a surgery by the author et al. between October 1997 and January 2002, at the National Hospital Edgardo Rebagliati Martins, Lima, Peru. The mortality rate was 25%.