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A Technique of Gastrojejunostomy to Reduce Delayed Gastric Emptying after Pancreatoduodenectomy

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Abstract

Delayed gastric emptying (DGE) through a gastroenterostomy is a clinical problem that affects many patients who have a standard Whipple procedure. A new method, which is associated with a low rate of DGE, is described.

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References

  1. Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990 s: pathology, complications, and outcomes. Ann Surg 1997;226:248–257.

    Article  PubMed  CAS  Google Scholar 

  2. van Berge Henegouwen MI, van Gulik TM, DeWit LT, Allema JH, Rauws EA, Obertop H, Gouma DJ. Delayed gastric emptying after standard pancreaticoduodenectomy versus pylorus-preserving pancreaticoduodenectomy: an analysis of 200 consecutive patients. J Am Coll Surg 1997;185(4):373–379.

    PubMed  Google Scholar 

  3. Izbicki JR, Bloechle C, Broering DC, Knoefel WT, Kuechler T, Broelsch CE. Extended drainage versus resection in surgery for chronic pancreatitis: a prospective randomized trial comparing the longitudinal pancreaticojejunostomy combined with local pancreatic head excision with the pylorus-preserving pancreatoduodenectomy. Ann Surg 1998;228:771–779

    Article  PubMed  CAS  Google Scholar 

  4. Wente MN, Bassi C, Dervenis C, Fingerhut A, Gouma DJ, Izbicki JR, Neoptolemos JP, Padbury RT, Sarr MG, Traverso LW, Yeo CJ, Buchler MW. Delayed gastric emptying (DGE) after pancreatic surgery: a suggested definition by the International Study Group of Pancreatic Surgery (ISGPS) Surgery 2007;142(5):762–768

    Google Scholar 

  5. Miedema BW, Sarr MG, van Heerden JA, Nagorney DM, McIlrath DC, Ilstrup D. Complications following pancreaticoduodenectomy. Current management. Arch Surg 1992;127:945–949.

    PubMed  CAS  Google Scholar 

  6. Yeo CJ, Cameron JL, Lillemoe KD, et al. Pancreaticoduodenectomy with or without distal gastrectomy and extended retroperitoneal lymphadenectomy for periampullary adenocarcinoma, part 2: randomized controlled trial evaluating survival, morbidity, and mortality. Ann Surg 2002;236:355–366.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Section of Hepato-Pancreato-Biliary Surgery, Department of Surgery, Washington University in Saint Louis, Suite 1160, Northwest Tower, 4990 Children’s Place, Box 8109, St. Louis, MO, 63110, USA

    Adeel S. Khan, William G. Hawkins, David C. Linehan & Steven M. Strasberg

Authors
  1. Adeel S. Khan
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  2. William G. Hawkins
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  3. David C. Linehan
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  4. Steven M. Strasberg
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Correspondence to Steven M. Strasberg.

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Khan, A.S., Hawkins, W.G., Linehan, D.C. et al. A Technique of Gastrojejunostomy to Reduce Delayed Gastric Emptying after Pancreatoduodenectomy. J Gastrointest Surg 15, 1468–1471 (2011). https://doi.org/10.1007/s11605-011-1471-4

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  • DOI: https://doi.org/10.1007/s11605-011-1471-4

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