Morphology-Based Surgery for Chronic Pancreatitis: Findings from a Europe-Wide Study and the Case for Unified, Next-Generation Guidelines

Morphology-Based Surgery for Chronic Pancreatitis: Findings from a Europe-Wide Study and the Case for Unified, Next-Generation Guidelines

A Europe-wide prospective study shows wide variation in morphology-based surgery for chronic pancreatitis and no clear outcome advantage from current guideline concordance — underscoring the need for unified, clearer recommendations on resections, parenchyma-preserving operations, and small-duct disease.
Direct Lymphangiography-Guided Cervical Thoracic Duct Exploration: Advancing Management of Primary Chylopericardium through Reflux Pattern Stratification and Long-Term Outcomes

Direct Lymphangiography-Guided Cervical Thoracic Duct Exploration: Advancing Management of Primary Chylopericardium through Reflux Pattern Stratification and Long-Term Outcomes

This study characterizes abnormal lymphatic reflux patterns in primary chylopericardium using direct lymphangiography and demonstrates that guided cervical thoracic duct exploration yields a 66% long-term success rate, with specific reflux types and absence of compensatory drainage predicting better outcomes.