1 / 43

Landmark Publications Pancreas

Landmark Publications Pancreas. Dr Vidhyachandra Gandhi DNB (GI Surgery), DNB (Gen Surgery) MNAMS, FSGE Gastrointestinal & HPB Surgeon Ruby Hall Clinic Pune IHPBA 2018. Period Jan 2017- Jan 2018 Indexed Journals RCT/Reviews/Meta analysis. Acute Pancreatitis Chronic Pancreatitis

bpearson
Download Presentation

Landmark Publications Pancreas

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Landmark PublicationsPancreas Dr Vidhyachandra Gandhi DNB (GI Surgery), DNB (Gen Surgery) MNAMS, FSGE Gastrointestinal & HPB Surgeon Ruby Hall Clinic Pune IHPBA 2018

  2. Period Jan 2017- Jan 2018Indexed JournalsRCT/Reviews/Meta analysis • Acute Pancreatitis • Chronic Pancreatitis • Carcinoma Pancreas • Pancreaticoduodenectomy &Complications • Cystic Neoplasms of Pancreas • Neuroendocrine tumors • Drains India • Journals - Annals of surgery/ Pancreas/ GUT/ Surgery/ NEJM/ BJS/Clinics of North America / Lancet

  3. Acute Pancreatitis

  4. AP

  5. AP What is known ?

  6. AP New Findings

  7. AP Impact on clinical practice

  8. Chronic Pancreatitis

  9. CP

  10. Post Operative Pancreatic Fistula

  11. POPF Grading ISGPF 2005 PCD – grade B or grade C ?

  12. Pharmacological Prevention of Pancreatic Fistula

  13. Expensive drug Adverse effects Cost effectiveness - overestimated No significant evidence NEJM trial - several pitfalls

  14. TO DRAIN OR NOT

  15. PPPD vs Classical PDwhich is better ?

  16. Six RCT Primary outcomes: Postoperative pancreatic-associated morbidity (disease-specific), such as leakage from the pancreatic anastomosis/pancreatic fistula, DGE and biliary leakage Secondary Outcome : survival , blood loss, operative time, duration of hospital stay. QOL

  17. PJ vs PG which is better ?

  18. Chyle Leak

  19. Borderline Resectable Pancreatic Cancer

  20. IAP Meeting 2016, JAPAN ANATOMICAL

  21. ANATOMICAL

  22. IAP Meeting 2016, JAPAN Main Concept

  23. BIOLOGICAL CONDITIONAL

  24. NOMENCLATURE

  25. INDIA

  26. Pancreatic Neuroendocrine Tumors

  27. ConclusionPancreas – 2017/18 AP – lesser the better CP - Resectional / drainage procedures – equally good Pancreatic fistula (ISGPF) – Biochemical leak, Grade B, Grade C Post PD – Chyle leak defined and graded Classical PD vs PPPD – no difference PJ vs PG – surgeons choice Prevention of pancreatic fistula – long way to go Drains – place them and remove early BRPC – definition changed (anatomical, biochemical and conditional) Non functional PNET – scope for observation

  28. Type 1 – leak from the side branches (parenchymal injuries, pancreatic biopsies, post Splenectomy) Type 2 – leak MPD (disrupted/disconnected duct syndrome) Type 3 – post pancreatectomy

More Related