Long-term follow-up of a pouching operation after pancreaticoduodenectomy using a double-jejunal pouch.
A 63-year old male was referred with intraductal papillary adenocarcinoma of the pancreas. The patient had been treated previously with a distal gastrectomy for duodenal ulceration. This surgery left the patient with esophagitis, residual gastritis, and decreased appetite. A modification of the Imanaga reconstructive method using a double-jejunal pouch was performed for the pancreatic carcinoma. This method allows a better quality of life by not only preventing reflux esophagitis and residual gastritis but also increasing a food volume. Here we illustrate the usefulness of a pancreaticoduodenectomy using the pouching operation.
Ikeda
Masami
M
Division of Gastroenterological Surgery, National Hospital Organization, Minami Yokohama National Hospital, Kanagawa, Japan. ikeda@syokohama.hosp.go.jp
Ryu
Masamine
M
Yamazaki
Kunihiro
K
Tsuchiya
Masaru
M
Kaneko
Hironori
H
Miyairi
Mamoru
M
D000231:Adenocarcinoma, Papillary / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods*; D011788:Quality of Life