Re-pancreaticojejunostomy for Necrosis of the Roux-en-Y Limb Tip 14 Years After Partington-Rochelle Procedure
| Autor: | Yukito Adachi, Akinori Sekioka, Yo Mizukami, Tetsuo Ito, Shuichi Ota |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Pancreatic duct
medicine.medical_specialty business.industry medicine.medical_treatment roux-en-y limb General Engineering Gastroenterology complication Anastomosis medicine.disease Roux-en-Y anastomosis pancreaticojejunostomy partington-rochelle procedure Surgery chronic pancreatitis Stenosis medicine.anatomical_structure Pancreatic fistula Laparotomy General Surgery medicine Emergency Medicine Pancreatitis business Complication |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | Longitudinal pancreaticojejunostomy for chronic pancreatitis, the Partington-Rochelle (PR) procedure, is a good option to control pain caused by dilation of the main pancreatic duct. However, long-term complications related to anastomosis are still unclear. Here, we present a case of a 78-year-old patient with sudden necrosis of the Roux-en-Y limb tip in a PR procedure performed 14 years ago. During emergent laparotomy, we resected the necrotic limb and re-anastomosed the remaining Roux-en-Y limb to the main pancreatic duct. Postoperatively, we managed the inflammation caused by the pancreatic fistula and successfully saved the patient by long-term drainage. Although the cause of necrosis is still unclear, mild kinking and stenosis of the Roux-en-Y limb might be associated with this situation. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|