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A modified single jejunal loop reconstruction by performing proximal gastrojejunostomy after Whipple’s pancreticoduodenectomy in a low-volume hospital
It is needed to ensure bowel and biliary tract continuity after pancreaticoduodenectomies. It is possible to find a variety of reconstruction methods in literature. We realized a modified reconstruction method by performing proximal gastrojejunostomy, on a jejunal loop after Whipple's pancretic...
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Published in: | Annals of hepato-biliary-pancreatic surgery 2019-02, Vol.23 (1), p.65-68 |
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Main Author: | |
Format: | Article |
Language: | English |
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Citations: | Items that this one cites |
Online Access: | Get full text |
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Summary: | It is needed to ensure bowel and biliary tract continuity after pancreaticoduodenectomies. It is possible to find a variety of reconstruction methods in literature.
We realized a modified reconstruction method by performing proximal gastrojejunostomy, on a jejunal loop after Whipple's pancreticoduodenectomy, with surgical succes in 7 patients with pancreatic head or periampullary carcinomas in a low-volume hospital 2009-2017.
A modified jejunal loop reconstruction method, was performed in 7 patients after Whipple's pancreaticoduodenectomy. We had no perioperative mortality. Pancreatic fistula treated with medical attempts was observed following post-operative pancreatitis in a patient. No marginal ulceration was observed. Delayed gastric emptying was not observed, except for post-operative acute pancreatitis and pancreatic fistula developing in a patient.
A modified reconstruction method by performing proximal gastrojejunostomy on a jejunal loop, can be considered as alternative reconstructive surgical procedure after pancreaticoduodenectomy. |
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ISSN: | 2508-5778 2508-5859 |
DOI: | 10.14701/ahbps.2019.23.1.65 |