Medical College of Wisconsin
CTSICores SearchResearch InformaticsREDCap

A Novel Reconstruction Technique During Pancreaticoduodenectomy After Roux-En-Y Gastric Bypass: How I do It. J Gastrointest Surg 2017 07;21(7):1186-1191

Date

04/28/2017

Pubmed ID

28447199

Pubmed Central ID

PMC5486682

DOI

10.1007/s11605-017-3405-2

Scopus ID

2-s2.0-85018254506   3 Citations

Abstract

The altered anatomy in patients after bariatric surgery who have undergone a Roux-en-Y gastric bypass may pose a technical challenge for surgical removal of the pancreatic head. We treat patients with pancreas cancer with multimodality therapy in a neoadjuvant fashion followed by pancreaticoduodenectomy (PD). In patients with Roux-en-Y gastric bypass anatomy, the gastric remnant is preserved and used for pancreaticogastrostomy reconstruction and subsequently drained by the same jejunal limb used for the hepaticojejunostomy. This method of reconstruction takes advantage of the previous surgically altered anatomy and avoids the morbidity of a gastric remnant resection at the time of PD.

Author List

Younan G, Tsai S, Evans DB, Christians KK

Authors

Kathleen K. Christians MD Professor in the Surgery department at Medical College of Wisconsin
Douglas B. Evans MD Chair, Professor in the Surgery department at Medical College of Wisconsin
Susan Tsai MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Gastric Bypass
Gastric Stump
Humans
Pancreatic Neoplasms
Pancreaticoduodenectomy
Treatment Outcome