title: Roux-en-Y duodenojejunostomy for surgical management of isolated duodenal obstruction due to chronic pancreatitis.
abstract: BACKGROUND
  Duodenal obstruction in case of chronic pancreatitis is a very rare occurrence and usually presents with gastric outlet obstruction. These cases sometimes require surgical intervention when conservative treatment fails. Gastrojejunostomy and vagotomy has conventionally been performed for management of these cases.
  
  
  METHODS
  In this report, we present two cases of isolated duodenal obstruction due to chronic pancreatitis that were managed with Roux-en-Y duodenojejunostomy. All the patients had uneventful post-operative recovery and remained symptom free up to two years of follow up.
  
  
  CONCLUSIONS
  The isolated duodenal obstruction in chronic pancreatitis is very rare occurring due to fibrotic scarring following pancreatic inflammation an irreversible phenomenon requiring drainage procedure. The advantage of performing Roux-en-Y duodenojejunostomy in these cases is that it avoids complications of gastrojejunostomy such as bile reflux and stomal ulcerations.
  
  
  CONCLUSIONS
  Roux-en-Y duodenojejunostomy should be considered as an alternative procedure when duodenal obstruction occurs beyond second part of duodenum.
authors.affiliation: Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, Haryana, India. Electronic address: himanshu86605@gmail.com.
authors.forename: Himanshu
authors.initials: H
authors.lastname: Sharma
authors.affiliation: Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, Haryana, India. Electronic address: drsanjay.marwah@gmail.com.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Marwah
authors.affiliation: Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, Haryana, India. Electronic address: singla.priyanka1710@gmail.com.
authors.forename: Priyanka
authors.initials: P
authors.lastname: Singla
authors.affiliation: Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, Haryana, India. Electronic address: amitgarg238007@gmail.com.
authors.forename: Amit
authors.initials: A
authors.lastname: Garg
authors.affiliation: Department of Surgery, Pt BDS Post-graduate Institute of Medical Sciences, Rohtak, Haryana, India. Electronic address: bhukkal09@gmail.com.
authors.forename: Bittu
authors.initials: B
authors.lastname: Bhukkal
keywords: Chronic pancreatitis; Duodenal obstruction; Duodenojejunostomy