Proximal Gastrojejunal Reconstruction after Pancreaticoduodenal Resection
Joint Authors
Brown, W.
Bratcher, J.
Wayne, M.
Steele, J.
Kasmin, F.
Narang, R.
Abbadessa, B.
Cooperman, A.
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-22
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Introduction.
Reconstruction by proximal gastrojejunostomy, and distal biliary and pancreatic anastomoses is infrequently used after resection of the head of the pancreas because of fear of fistulas and cholangitis.
Pancreaticoduodenectomy is being performed more frequently for cystic malignant and premalignant lesions.
Because of this there is a need for endoscopic visualization and biopsy of the residual pancreatic duct, since multi-centricity is characteristic of some of these malignancies.
Since endoscopic access of the bile duct and pancreatic duct is difficult and unsuccessful in 50–70% after B II or Roux Y reconstruction, we prospectively studied the merit and complications (early and late) of proximal gastrojejunal (PGJ) reconstruction after pancreaticoduodenal resection.
Material and Methods.
Thirty nine consecutive, non-radomized patients underwent pancreaticoduodenectomy and PGJ reconstruction over 14 mos.
There were 21 males and 18 females.
Results.
7 patients with IPMN have undergone repeat CT scanning for surveillance, with 3 requiring repeat EUS and ERCP.
There were no technical difficulties accessing the pancreas or the pancreatic duct, supporting the PGJ reconstruction.
Conclusion.
Proximal gastrojejunal reconstruction following pancreaticoduodenal resection may be safely done with similar morbidity to traditional pancreaticojejunal reconstructions.
PGJ reconstruction may be of greater value when direct visual access to the bile duct or pancreatic duct is necessary, and should be considered when doing resection for mucinous cysts or IPMN of the head of the pancreas.
American Psychological Association (APA)
Wayne, M.& Cooperman, A.& Narang, R.& Abbadessa, B.& Bratcher, J.& Brown, W.…[et al.]. 2012. Proximal Gastrojejunal Reconstruction after Pancreaticoduodenal Resection. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-512917
Modern Language Association (MLA)
Wayne, M.…[et al.]. Proximal Gastrojejunal Reconstruction after Pancreaticoduodenal Resection. International Journal of Surgical Oncology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-512917
American Medical Association (AMA)
Wayne, M.& Cooperman, A.& Narang, R.& Abbadessa, B.& Bratcher, J.& Brown, W.…[et al.]. Proximal Gastrojejunal Reconstruction after Pancreaticoduodenal Resection. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-512917
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-512917