title: Long-term follow-up of a pouching operation after pancreaticoduodenectomy using a double-jejunal pouch.
abstract: 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.
authors.affiliation: Division of Gastroenterological Surgery, National Hospital Organization, Minami Yokohama National Hospital, Kanagawa, Japan. ikeda@syokohama.hosp.go.jp
authors.forename: Masami
authors.initials: M
authors.lastname: Ikeda
authors.forename: Masamine
authors.initials: M
authors.lastname: Ryu
authors.forename: Kunihiro
authors.initials: K
authors.lastname: Yamazaki
authors.forename: Masaru
authors.initials: M
authors.lastname: Tsuchiya
authors.forename: Hironori
authors.initials: H
authors.lastname: Kaneko
authors.forename: Mamoru
authors.initials: M
authors.lastname: Miyairi
mesh_terms: 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