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Kawamoto Y, Ome Y, Kouda Y, et al. Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review. Int J Surg Case Rep. 2017;35:106-109doi: 10.1016/j.ijscr.2017.04.018.
Kawamoto, Y., Ome, Y., Kouda, Y., Saga, K., Park, T., & Kawamoto, K. (2017). Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review. International journal of surgery case reports, 35106-109. https://doi.org/10.1016/j.ijscr.2017.04.018
Kawamoto, Yusuke, et al. "Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review." International journal of surgery case reports vol. 35 (2017): 106-109. doi: https://doi.org/10.1016/j.ijscr.2017.04.018
Kawamoto Y, Ome Y, Kouda Y, Saga K, Park T, Kawamoto K. Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review. Int J Surg Case Rep. 2017;35:106-109. doi: 10.1016/j.ijscr.2017.04.018. Epub 2017 Apr 18. PMID: 28477562; PMCID: PMC5424949.
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Int J Surg Case Rep. 2017;35:106-109. doi: 10.1016/j.ijscr.2017.04.018. Epub 2017 Apr 18.

Pancreaticoduodenectomy following gastrectomy reconstructed with Billroth II or Roux-en-Y method: Case series and literature review.

International journal of surgery case reports

Yusuke Kawamoto, Yusuke Ome, Yusuke Kouda, Kennichi Saga, Taebum Park, Kazuyuki Kawamoto

Affiliations

  1. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].
  2. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].
  3. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].
  4. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].
  5. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].
  6. Department of General Surgery, Kurashiki Central Hospital, 1-1-1, Miwa, Kurashiki, 710-8602,Okayama, Japan. Electronic address: [email protected].

PMID: 28477562 PMCID: PMC5424949 DOI: 10.1016/j.ijscr.2017.04.018

Abstract

INTRODUCTION: The ideal reconstruction method for pancreaticoduodenectomy following a gastrectomy with Billroth II or Roux-en-Y reconstruction is unclear.

METHODS: We reviewed a series of seven pancreaticoduodenectomies performed after gastrectomy with the Billroth II or Roux-en-Y method.

RESULTS: While preserving the existing gastrojejunostomy or esophagojejunostomy, pancreaticojejunostomy and hepaticojejunostomy were performed by the Roux-en-Y method using a new Roux limb in all cases. Four patients experienced postoperative complications, although the specific complications varied.

DISCUSSION: A review of the literature revealed 13 cases of pancreaticoduodenectomy following gastrectomy with Billroth II or Roux-en-Y reconstruction. Three patients out of six (50%) in whom the past afferent limb was used for the reconstruction of the pancreaticojejunostomy and hepaticojejunostomy experienced afferent loop syndrome, while 14 previous and current patients in whom a new jejeunal limb was used did not experience this complication.

CONCLUSION: The Roux-en-Y method, using the distal intestine of previous gastrojejunostomy or jejunojejunostomy as a new jejunal limb for pancreaticojejunostomy and hepaticojejunostomy, may be a better reconstruction method to avoid the complication of afferent loop syndrome after previous gastrectomy with Billroth II or Roux-en-Y reconstruction if the afferent limb is less than 40cm.

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

Keywords: Afferent loop syndrome; Billroth II; Pancreaticoduodenectomy following gastrectomy; Roux-en-Y

References

  1. Hepatogastroenterology. 2010 Jan-Feb;57(97):149-54 - PubMed
  2. Am Surg. 2012 Feb;78(2):103-5 - PubMed
  3. Gastrointest Endosc. 2011 Aug;74(2):295-302 - PubMed
  4. World J Gastroenterol. 2014 Mar 14;20(10):2721-4 - PubMed
  5. Int J Surg. 2016 Dec;36(Pt A):319-323 - PubMed
  6. Int Surg. 2014 Jan-Feb;99(1):71-6 - PubMed
  7. JOP. 2015 Mar 20;16(2):198-200 - PubMed
  8. J Gastrointest Surg. 2004 Jul-Aug;8(5):575-9 - PubMed
  9. Surg Clin North Am. 2011 Oct;91(5):1105-22 - PubMed
  10. Case Rep Gastroenterol. 2012 May;6(2):472-7 - PubMed
  11. Surg Today. 2012 May;42(5):482-8 - PubMed
  12. Jpn J Clin Oncol. 2015 Apr;45(4):390-401 - PubMed

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