Pyloroplasty for Refractory Gastroparesis.

Gastroparesis is a chronic gastric motility disorder in which the pathophysiology mimics a postvagotomy state. Pyloroplasty is beginning to emerge as a successful drainage procedure for refractory gastroparesis. Here we report our experience using pyloroplasty in the surgical management of diabetic and nondiabetic gastroparesis.

A 36-Year Retained T-tube Fragment Presenting with Cholangitis.

The use of a T-tube to drain the biliary tree after choledochotomy has been a common surgical practice. Inadvertent fracture of the T-tube limb during removal is a rare occurrence which can lead to several complications. We report a case of cholangitis caused by a T-tube fragment retained in the common bile duct 36 years after cholecystectomy.