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KMID : 1143920190230010065
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Annals of Hepato-Biliary-Pancreatic Surgery
2019 Volume.23 No. 1 p.65 ~ p.68
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A modified single jejunal loop reconstruction by performing proximal gastrojejunostomy after Whipple’s pancreticoduodenectomy in a low-volume hospital
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Yucesoy Ali Naki
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Abstract
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Backgrounds/Aims: It is needed to ensure bowel and biliary tract continuity after pancreaticoduodenectomies. It is possible to find a variety of reconstruction methods in literature.
Methods: 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.
Results: 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.
Conclusions: 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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KEYWORD
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Pancreaticoduodenectomy, Delayed gastric emptying, Marginal ulceration
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