TY - JOUR
T1 - Prophylactic pylorus-preserving gastric transposition in unresectable carcinoma of the pancreatic head
AU - Falconi, Massimo
AU - Hilal, Moh'd Abu
AU - Salvia, Roberto
AU - Sartori, Nora
AU - Bassi, Claudio
AU - Pederzoli, Paolo
PY - 2004/4
Y1 - 2004/4
N2 - Patients with unresectable carcinoma of the pancreas head often present with intestinal obstruction during their disease, but the efficacy of a prophylactic gastrointestinal anastomosis is still under debate. Some investigators consider the population of patients who eventually develop this complication too small to justify the prophylactic use of this procedure. When done prophylactically, the gastrointestinal anastomosis tends not to function and close. Other surgeons have proposed supplementing the gastric bypass using technique alternatives. To demonstrate the low morbidity, the feasibility, and the advantages and disadvantages of this procedure, we report our personal experience with transection of the duodenum and re-establishment of the continuity of the alimentary tract with a duodenojejunal anastomosis performed in 34 patients.
AB - Patients with unresectable carcinoma of the pancreas head often present with intestinal obstruction during their disease, but the efficacy of a prophylactic gastrointestinal anastomosis is still under debate. Some investigators consider the population of patients who eventually develop this complication too small to justify the prophylactic use of this procedure. When done prophylactically, the gastrointestinal anastomosis tends not to function and close. Other surgeons have proposed supplementing the gastric bypass using technique alternatives. To demonstrate the low morbidity, the feasibility, and the advantages and disadvantages of this procedure, we report our personal experience with transection of the duodenum and re-establishment of the continuity of the alimentary tract with a duodenojejunal anastomosis performed in 34 patients.
KW - Gastric transposition
KW - Intestinal obstruction
KW - Prophylactic gastrointestinal bypass
KW - Unresectable pancreatic head carcinoma
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U2 - 10.1016/j.amjsurg.2003.12.043
DO - 10.1016/j.amjsurg.2003.12.043
M3 - Article
C2 - 15041514
AN - SCOPUS:1642394963
VL - 187
SP - 564
EP - 566
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 4
ER -