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A MODIFICATION OF ISOLATED ROUX LOOP RECONSTRUCTION AFTER PANCREATICODUODENECTOMY
Author(s) -
Toogood Giles J.,
Wilson Thomas G.,
Padbury Robert T. A.
Publication year - 1999
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1046/j.1440-1622.1999.01573.x
Subject(s) - medicine , pancreaticoduodenectomy , anastomosis , pancreas , roux en y anastomosis , pancreatic duct , lumen (anatomy) , surgery , general surgery , gastric bypass , weight loss , obesity
Background : Different techniques of reconstruction following pancreaticoduodenectomy have been described. A new modification using an isolated Roux‐en‐Y loop is reported. Methods : The isolated loop is taken up to bile duct rather than pancreas as previously described. Results : Seventeen patients have undergone this procedure. Two pancreatic fistulae developed, both following postoperative abscess formation. There was no operative mortality. Conclusion : This reconstruction provides separation of biliary and pancreatic fluid but adds two further benefits: the wide jejunal lumen allows for an easier pancreaticojejunal anastomosis, particularly when operating on a soft pancreas, and separation of gastric and biliary anastomoses prevents the efflux of bile into stomach.