Modified digestive reconstruction with midgut transposition after pylorus-preserving pancreaticoduodenectomy for pancreatic head tumor in childhood.

Details

Serval ID
serval:BIB_C8617BBBEECB
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Modified digestive reconstruction with midgut transposition after pylorus-preserving pancreaticoduodenectomy for pancreatic head tumor in childhood.
Journal
Journal of Pediatric Surgery
Author(s)
Uchida K., Joseph J.M., Gapany C., Chardot C.
ISSN
0022-3468
ISSN-L
1531-5037 (Electronic)
Publication state
Published
Issued date
10/2008
Peer-reviewed
Oui
Volume
43
Number
10
Pages
1932-1934
Language
english
Notes
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Abstract
We describe a new procedure of digestive reconstruction after pylorus-preserving pancreaticoduodenectomy in a 13-year-old girl presenting with a large solid and papillary epithelial neoplasm of the pancreatic head. A midgut transposition (like in a cure of midgut malrotation) was easily performed after tumor removal with minimal additional dissection. Bilio- and pancreaticodigestive anastomoses were performed on 2 separate Roux-en-Y loops, placed behind the postpyloric jejunal loop. Separate biliary and pancreatic conduits prevented both activation of pancreatic enzymes at the pancreatic duct anastomosis and reflux of pancreatic juice in the bile ducts. Midgut transposition avoided any traction or twist of the 3 isoperistaltic intestinal loops. Postoperative course was uneventful. This technique may be useful after pancreatic head resections in children and adolescents.
Keywords
Adolescent, Anastomosis, Roux-en-Y, Cystadenoma, Papillary/surgery, Enzymes/therapeutic use, Exocrine Pancreatic Insufficiency/drug therapy, Exocrine Pancreatic Insufficiency/etiology, Female, Humans, Jejunum/surgery, Pancreatic Neoplasms/surgery, Pancreaticoduodenectomy/adverse effects, Pancreaticoduodenectomy/methods, Pylorus, Remission Induction
Pubmed
Web of science
Create date
29/10/2008 15:20
Last modification date
20/08/2019 15:43
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