title: Successful treatment for combined pancreatoduodenal injury by a second-stage pancreatojejunostomy following pancreatoduodenectomy.
abstract: A case of combined pancreatoduodenal injury requiring pancreatoduodenectomy is described. A two-stage approach was used, which included a pancreatoduodenectomy followed by a tube pancreatostomy for complete external drainage of pancreatic juice and subsequent second-stage pancreatojejunostomy. This approach, first advocated by Miyagawa et al., enabled us to handle the normal soft pancreas without any complications. It is suggested that the described second-stage pancreatojejunostomy can be considered as an alternative method of restoring pancreatoenteric continuity following pancreatoduodenectomy in emergency cases.
authors.affiliation: Department of Surgery, Shinshu University School of Medicine, Matsumoto, Japan.
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sekino
authors.forename: Akira
authors.initials: A
authors.lastname: Kobayashi
authors.forename: Satoshi
authors.initials: S
authors.lastname: Takagi
authors.forename: Shiro
authors.initials: S
authors.lastname: Miwa
authors.forename: Shinichi
authors.initials: S
authors.lastname: Miyagawa
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D000063:Accidents, Traffic; D000714:Anastomosis, Surgical; D003131:Combined Modality Therapy; D004386:Duodenum / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D010179:Pancreas / Q000293:injuries* / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods*; D010193:Pancreaticojejunostomy / Q000379:methods*; D018570:Risk Assessment; D016896:Treatment Outcome