Pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction for benign pancreatic diseases
Autor: | Jie Weng, Qing-Zhuang Yang, You-Ke Chen, Chang-Ku Jia, Yu Fu, Xue-Fei Lu |
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Rok vydání: | 2014 |
Předmět: |
Male
medicine.medical_specialty Pancreatic disease Cholangiopancreatography Magnetic Resonance medicine.medical_treatment Fistula Jejunostomy Case Report Severity of Illness Index Pancreaticojejunostomy medicine Humans business.industry Stomach Gastroenterology Pancreatic Diseases Anastomosis Roux-en-Y General Medicine Middle Aged Plastic Surgery Procedures Pancreaticoduodenectomy medicine.disease Roux-en-Y anastomosis Surgery Treatment Outcome medicine.anatomical_structure Acute Disease Duodenum Wounds and Injuries Pancreatitis Tomography X-Ray Computed business |
Zdroj: | World Journal of Gastroenterology. 20:13200 |
ISSN: | 1007-9327 |
Popis: | Surgery such as digestive tract reconstruction is usually required for pancreatic trauma and severe pancreatitis as well as malignant pancreatic lesions. The most common digestive tract reconstruction techniques (e.g., Child’s type reconstruction) for neoplastic diseases of the pancreatic head often encompass pancreaticojejunostomy, choledochojejunostomy and then gastrojejunostomy with pancreaticoduodenectomy, whereas these techniques may not be applicable in benign pancreatic diseases due to an integrated stomach and duodenum in these patients. In benign pancreatic diseases, the aforementioned reconstruction will not only increase the distance between the pancreaticojejunostomy and choledochojejunostomy, but also the risks of traction, twisting and angularity of the jejunal loop. In addition, postoperative complications such as mixed fistula are refractory and life-threatening after common reconstruction procedures. We here introduce a novel pancreaticojejunostomy, hepaticojejunostomy and double Roux-en-Y digestive tract reconstruction in two cases of benign pancreatic disease, thus decreasing not only the distance between the pancreaticojejunostomy and choledochojejunostomy, but also the possibility of postoperative complications compared to common reconstruction methods. Postoperatively, the recovery of these patients was uneventful and complications such as bile leakage, pancreatic leakage and digestive tract obstruction were not observed during the follow-up period. |
Databáze: | OpenAIRE |
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