Roux-Y choledochojejunostomy and duodenojejunostomy for the complicated duodenal diverticulum.
BACKGROUND
Exclusion of the duodenum by means of transection and Roux-Y duodenojejunostomy has been practiced for the treatment of complicated duodenal diverticulum. However, this method does not divert bile away from the diverticulum, hence the possibility of pancreaticobiliary complications is not eliminated.


METHODS
Roux-Y choledochojejunostomy and duodenojejunostomy, for the diversion of bile and food, has been applied for the treatment of pancreaticobiliary complications of duodenal diverticulum in 4 patients. Postoperatively, all patients had endoscopy, HIDA-scintigraphy for the measurement of enterogastric reflux, and assessment of gastric emptying.


RESULTS
One year postoperatively, there were no recurrent symptoms of cholangitis or pancreatitis, no anastomotic ulceration was found on endoscopy, there were no complaints of gastric stasis, and enterogastric reflux was not significant.


CONCLUSIONS
Roux-Y choledochojejunostomy and duodenojejunostomy for the treatment of the complicated duodenal diverticulum is associated with satisfactory results. Postoperative symptoms attributed to anastomotic ulceration, bile reflux, or gastric stasis are also absent.
Vassilakis
J S
JS
Department of General Surgery, University Hospital of Heraklion, Medical School, University of Crete, Greece.
Tzovaras
G
G
Chrysos
E
E
Mouzas
I
I
Manousos
O
O
Xynos
E
E
D000368:Aged; D000713:Anastomosis, Roux-en-Y; D001649:Bile Duct Diseases / Q000209:etiology / Q000601:surgery; D002768:Choledochostomy / Q000379:methods*; D004240:Diverticulum / Q000150:complications / Q000601:surgery*; D004378:Duodenal Diseases / Q000150:complications / Q000601:surgery*; D004386:Duodenum / Q000601:surgery*; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome