title: [Duodenojejunostomy in the symptomatic treatment of neoplastic obstruction of the duodenum--clinical observations].
abstract: The aim of the study was to evaluate the value of duodenojejunostomy and gastrojejunostomy in the treatment of neoplastic obstruction in the distal part of the duodenum. From 1992-1996, 37 patients (15 women, 22 men, aged 31-76 years) underwent a palliative operation for pancreatic cancer infiltrating the distal part of duodenum. Roux-en-Y procedure was used to create anastomoses between the duodenal bulb and jejunal loop. In 13 patients only alimentary by-pass was made whereas in the remaining 24 biliary decompression was also performed. The results were compared with the outcome in 26 patients in whom gastrojejunal side-to-side anastomosis been made. The advantage of Roux-en-Y duodenojejunostomy is that it does not interfere with gastric emptying and thus prevents jejuno biliary reflux and the consequent complications. Improvement of nutrition and quality of life in patients with inoperable pancreatic cancer, were noticed with this method.
authors.affiliation: Katedry i Kliniki Chirurgii Przewodu Pokarmowego Slaskiej Akademii Medycznej w Katowicach.
authors.forename: Z
authors.initials: Z
authors.lastname: Górka
authors.forename: M
authors.initials: M
authors.lastname: Lesiecka
authors.forename: K
authors.initials: K
authors.lastname: Kuśnierz
authors.forename: S
authors.initials: S
authors.lastname: Mrowiec
authors.forename: M
authors.initials: M
authors.lastname: Leidgens
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000713:Anastomosis, Roux-en-Y; D004378:Duodenal Diseases / Q000503:physiopathology / Q000601:surgery*; D004379:Duodenal Neoplasms / Q000556:secondary / Q000601:surgery; D004385:Duodenostomy / Q000379:methods; D005260:Female; D005746:Gastric Emptying; D005774:Gastrostomy; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D007579:Jejunal Diseases / Q000503:physiopathology / Q000601:surgery*; D007582:Jejunostomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000150:complications*; D011788:Quality of Life