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Pylorus-Resecting Pancreaticoduodenectomy with Proximal Roux-en-Y Gastrojejunal Anastomosis: Is This the Winning Combination for Prevention of Delayed Gastric Emptying After Pancreaticoduodenectomy?

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Journal of Gastrointestinal Surgery

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References

  1. Barakat O, Cagigas MN, Bozorgui S, Ozaki CF, Wood RP. Proximal Roux-en-Y gastrojejunal anastomosis with pyloric ring resection improves gastric emtying after pancreaticoduodenectomy. J Gastrointest Surg 2016; 20:914–923.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Peparini N. Preventing delayed gastric emptying after pancreaticoduodenectomy. Ann Surg 2016; 263(3):e52.

    Article  PubMed  Google Scholar 

  3. Wu W,Hong X, Fu L, Liu S, You L, Zhou L, Zhao Y. The effect of pylorus removal on delayed gastric emtying after pancreaticoduodenectomy: a meta-analysis of 2,599 patients. PlosOne 2014; 9(10): e108380.

    Article  Google Scholar 

  4. Joliat G-R, Labgaa I, Demartines N, Schafer M. Effect of antecolic versus retrocolic gastroenteric reconstruction after pancreaticoduodenectomy on delayed gastric emtying: a meta-analysis of six randomized controlled trials. Dig Surg 2016; 33:15–25.

  5. Goei TH, van Berge Henegouwen MI, Slooff MJ H, van Gulik TM, Gouma DJ, Eddes EH. Pylorus-preserving pancreatoduodenectomy : influence of a Billroth I versus a Billroth II type of reconstruction on gastric emptying. Dig Surg 2001; 18:376–380.

  6. Paraskevas KI, Avgerinos C, Manes C, Lytras D, Dervenis C. Delayed gastric emtying is associated with pylorus-preserving but not classical Whipple pancreaticoduodenectomy: a review of the literature and critical reappraisal of the implicated pathomechanism. World J Gastroenterol 2006; 12:5951–5958.

  7. Chirletti P, Peparini N, Caronna R, Papini F, Vietri F, Gualdi G. Monitoring fibrosis of the pancreatic remnant after a pancreaticoduodenectomy with dynamic MRI: are the results independent of the adopted reconstructive technique ? J Surg Res 2010; 164: e49–e52.

    Article  PubMed  Google Scholar 

  8. Peparini N, Chirletti P. Does antecolic reconstruction decrease delayed gastric emptying after pancreatocoduodenectomy? World J Gastroenterol 2012; 18:6527–6531.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Caronna R, Peparini N, Cosimo Russillo G, Antonio Rogano A,Dinatale G, Chirletti P.Pancreaticojejunoanastomosis after pancreaticoduodenectomy : brief pathophysiological considerations for a rational surgic choice. Int J Surg Oncol 2012; 2012: 636824.

    PubMed  PubMed Central  Google Scholar 

  10. Shimoda M, Kubota K, Katoh M, Kita J. Effect of Billroth II or Roux-en-Y reconstruction for the gastrojejunostomy on delayed gastric emtying after pancreaticoduodenectomy.A randomized controlled trial. Ann Surg 2013; 257: 938–942.

    Article  PubMed  Google Scholar 

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Authors’ Contributions

Nadia Peparini conceived the work, interpreted the data, drafted the manuscript, gave its final approval, and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. Fabio Benedetti acquired and analyzed the data, critically revised the manuscript, gave its final approval, and agreed to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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Authors and Affiliations

  1. Azienda Sanitaria Locale Roma H, Distretto 3, Via Mario Calò, 5, 00043, Ciampino, Rome, Italy

    Nadia Peparini

  2. Department of Surgical Sciences, Sapienza University of Rome, viale Regina Elena 324, 00161, Rome, Italy

    Fabio Benedetti

Authors
  1. Nadia Peparini
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  2. Fabio Benedetti
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Correspondence to Nadia Peparini.

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Peparini, N., Benedetti, F. Pylorus-Resecting Pancreaticoduodenectomy with Proximal Roux-en-Y Gastrojejunal Anastomosis: Is This the Winning Combination for Prevention of Delayed Gastric Emptying After Pancreaticoduodenectomy?. J Gastrointest Surg 21, 420–421 (2017). https://doi.org/10.1007/s11605-016-3291-z

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  • DOI: https://doi.org/10.1007/s11605-016-3291-z

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