CT features of symptomatic adult intussusception with surgical correlation: a study of six cases

Adult intussusception is a rare cause of bowel obstruction and is often secondary to a benign or malignant tumor. This study de-scribes the computed tomography (CT) features of 6 surgically managed cases of adult intussusception presenting with signs of intestinal obstruction between 2010 and 2012. All had CT scan followed by surgical resection of bowel obstruction. The clinical, imaging and surgical data of these 6 cases was analyzed. Pre-operatively CT scan correctly diagnosed intussusception in all cases. Of them five had a mass lesion as lead point. One had past history of gastric surgery. The tumors were adenocarcinoma (n=2) and one each of Non-Hodgkin’s Lymphoma (NHL), inflammatory polyp and sub-mucosal lipoma. The patient with NHL had multiple polyps and multiple intussusceptions.Pre-operative CT scan precisely depicted the underlying cause, mechanism and anatomy of intussusceptions. A tumour is the lead point in most cases of adult intussusceptions

Peri-operative outcomes for pancreatoduodenectomy in India: a multi-centric study

AbstractBackgroundThere have been an increasing number of reports world-wide relating improved outcomes after pancreatic resections to high volumes thereby supporting the idea of centralization of pancreatic resectional surgery. To date there has been no collective attempt from India at addressing this issue. This cohort study analysed peri-operative outcomes after pancreatoduodenectomy (PD) at seven major Indian centres.Materials and MethodsBetween January 2005 and December 2007, retrospective data on PDs, including intra-operative and post-operative factors, were obtained from seven major centres for pancreatic surgery in India.ResultsBetween January 2005 and December 2007, a total of 718 PDs were performed in India at the seven centres. The median number of PDs performed per year was 34 (range 9–54). The median number of PDs per surgeon per year was 16 (range 7–38). Ninety-four per cent of surgeries were performed for suspected malignancy in the pancreatic head and periampullary region. The median mortality rate per centre was four (range 2–5%). Wound infections were the commonest complication with a median incidence per centre of 18% (range 9.3–32.2%), and the median post-operative duration of hospital stay was 16 days (range 4–100 days).ConclusionsThis is the first multi-centric report of peri-operative outcomes of PD from India. The results from these specialist centers are very acceptable, and appear to support the thrust towards centralization