A modification of isolated Roux loop reconstruction after pancreaticoduodenectomy.
BACKGROUND
Different techniques of reconstruction following pancreaticoduodenectomy have been described. A new modification using an isolated Roux-en-Y loop is reported.


METHODS
The isolated loop is taken up to bile duct rather than pancreas as previously described.


RESULTS
Seventeen patients have undergone this procedure. Two pancreatic fistulae developed, both following postoperative abscess formation. There was no operative mortality.


CONCLUSIONS
This reconstruction provides separation of biliary and pancreatic fluid but adds two further benefits: the wide jejunal lumen allows for an easier pancreaticojejunal anastomosis, particularly when operating on a soft pancreas, and separation of gastric and biliary anastomoses prevents the efflux of bile into stomach.
Toogood
G J
GJ
Department of Surgery, Flinders Medical Centre, Bedford Park, South Australia, Australia.
Wilson
T G
TG
Padbury
R T
RT
D000368:Aged; D000713:Anastomosis, Roux-en-Y / Q000379:methods; D000783:Aneurysm / Q000601:surgery; D001652:Bile Ducts / Q000601:surgery*; D006801:Humans; D010179:Pancreas / Q000098:blood supply; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy; D019651:Plastic Surgery Procedures / Q000379:methods*