title: [Four cases of double bypass surgery involving choledochojejunostomy and gastrojejunostomy for inoperable peripancreatic head cancer].
abstract: Peripancreatic head cancer often causes obstructive jaundice and duodenal obstruction, which reduces the quality of life and hinders the administration of anti-cancer drugs. Here, we report 4 cases of double bypass surgery( biliary and gastric) for the treatment of inoperable peripancreatic head cancer. The patients' ages ranged from 64 to 72 years. Two patients had pancreatic head cancer and 2 had ampullary cancer. No postoperative morbidity was observed and all 4 patients resumed oral intake within 5 days after surgery and began receiving chemotherapy within 1 month after surgery. There was immediate relief of biliary obstruction in all 3 patients with obstructive jaundice. None of the patients experienced recurrence of obstructive jaundice requiring biliary drainage. Two patients who died of cancer were able to consume food orally just before they died. Although bypass surgery is more invasive than endoscopic stenting, it may be safe and useful not only for palliation, but also for induction or continuation of chemotherapy.
authors.affiliation: Dept. of Surgery, Nara Hospital Kinki University Faculty of Medicine.
authors.forename: Masanori
authors.initials: M
authors.lastname: Tsujie
authors.forename: Sayuri
authors.initials: S
authors.lastname: Isono
authors.forename: Katsuaki
authors.initials: K
authors.lastname: Sato
authors.forename: Kenji
authors.initials: K
authors.lastname: Kawai
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Ikeda
authors.forename: Johji
authors.initials: J
authors.lastname: Hara
authors.forename: Kotaro
authors.initials: K
authors.lastname: Kitani
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Nakayama
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Fujiwara
authors.forename: Masao
authors.initials: M
authors.lastname: Yukawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Watatani
authors.forename: Masatoshi
authors.initials: M
authors.lastname: Inoue
mesh_terms: D000368:Aged; D015904:Biliopancreatic Diversion; D002768:Choledochostomy; D004379:Duodenal Neoplasms / Q000150:complications / Q000601:surgery; D004380:Duodenal Obstruction / Q000209:etiology / Q000601:surgery; D005260:Female; D015390:Gastric Bypass; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010166:Palliative Care; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery; D011788:Quality of Life