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PALLIATIVE BYPASS SURGERY IN CARCINOMA OF THE HEAD OF THE PANCREAS
Author(s) -
Gough Ian R.,
Mumme Geoffrey
Publication year - 1983
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 - 10.1111/j.1445-2197.1983.tb02475.x
Subject(s) - medicine , gastroenterostomy , laparotomy , anastomosis , head of pancreas , surgery , pancreas , general surgery , carcinoma , cancer , gastrectomy
A review of 52 patients having palliative bypass surgery for carcinoma of the head of the pancreas revealed that 20% of patients required subsequent laparotomy for relief of gastric outlet obstruction and that biliary‐enteric anastomoses using the gall bladder were unsatisfactory in 25% of patients. It is recommended that gastroenterostomy be performed routinely during the intial laparotomy. The biliary anatomy should be demonstrated by preoperative or intra‐operative contrast X‐rays and the gall bladder should be used for biliary‐enteric anastomosis only when the surgeon is certain that the biliary system will be adequately drained.