Impact on quality of life after pancreatoduodenectomy: a prospective study comparing preoperative and postoperative scores.

Introduction: Few studies compare the direct impact of pancreatoduodenectomy (PD) on the patient's quality of life (QOL). The effect of PD in QOL, comparing the preoperative vs. postoperative status, was analyzed.

Malignant insulinoma arising from intrasplenic heterotopic pancreas.

Context: Heterotopic pancreas is defined as ectopic pancreatic tissue without vascular or anatomic continuity with the normal pancreas. The spleen is a rare site of origin. This case report describes a patient with a malignant insulinoma which originated from an intrasplenic heterotopic pancreas.

[Accessory spleen as a differential diagnosis of intrapancreatic tumors. Case report and review of the literature].

There are few reports of intrapancreatic accessory spleen. Most cases have been reported in Japan and some refer epithelial cysts within it. Most of these lesions are asymptomatic and may be misdiagnosed as a non-functioning neuroendocrine tumor due to their radiological characteristics and lack of symptomatology.

[Pancreatoduodenectomy: results in a large volume center].

Objective: Analyze the experience with pancreaticoduodenectomy (PD) at the INCMNSZ.

Background Data: PD has become a popular procedure in hospitals throughout the USA and Europe in the last 25 years, where mortality is < 5% y morbidity remains around 40%. Nonetheless there are very few reports on PD in Latin America.

When should we be concerned about pancreatic necrosis? Analysis from a single institution in Mexico City.

Background/aim: Although pancreatic necrosis classifies acute pancreatitis (AP) as severe, many patients with tomographic evidence of necrosis never develop systemic complications. Our aim was to analyze the incidence of pancreatic necrosis, organ failure (OF), and the relationship between them.

Methods: Medical records from 165 patients with a first AP episode and in whom a contrast-enhanced computed tomography (CECT) was performed were analyzed.

[Cystic disease of the biliary tract. Three decades of institutional experence].

Introduction: Cystic disease of biliary tract (CDBT) characterizes by the presence of sacular expansions of the biliary tree. It is an uncommon disease associated with high morbidity and malignant transformation. More than 60% of patients are women and can be diagnosed in the adult life.