Bilio-digestive double bypass for nonresectable pancreatic cancer.
In spite of extensive preoperative investigation, surgical exploration is often the only way to determine whether a pancreatic cancer is curatively resectable. If curative resection is not possible, palliation of cholestasis and eventual duodenal obstruction is mandatory. This is best achieved by construction of a bilio-digestive double bypass. Many different techniques have been described but considerable rates of delayed gastric emptying have added high morbidity to the procedure. We propose a retrocolic construction technique combining an omega loop with a Roux-en-Y reconstruction which to our knowledge has not been published before.
Department of Sugery, Spitalzentrum, Biel, Switzerland. j-mh@gmx.ch
J-M
JM
Heinicke
M W
MW
Büchler
U T
UT
Laffer
D000713:Anastomosis, Roux-en-Y; D002779:Cholestasis / Q000601:surgery; D004380:Duodenal Obstruction / Q000601:surgery; D006500:Hepatic Duct, Common / Q000601:surgery*; D007583:Jejunum / Q000601:surgery*; D008646:Mesocolon / Q000601:surgery; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000601:surgery*