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Roux-en-Y end-to-end and end-to-side double pancreaticojejunostomy: application of the reconstructive method of the Beger procedure to central pancreatectomy

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Abstract

Purposes

Central pancreatectomy is indicated for treatment of traumatic lesions and benign or low-grade tumors of the pancreatic neck and proximal body. After central pancreatectomy, the proximal pancreatic stump is usually closed, and pancreaticojejunostomy or pancreaticogastrostomy carried out with the distal pancreas. Adopting these reconstructive techniques in most series revealed a prevalence of postoperative fistula that was higher than after pancreaticoduodenectomy or left pancreatectomy. We present a case treated by novel application of the reconstructive method of the Beger procedure.

Methods

Reconstruction by Roux-en-Y double pancreaticojejunostomy after central pancreatectomy was done in a 71-year-old female suffering from insulinoma of the proximal pancreatic body.

Results

Postoperative complications were not observed. No alteration of pancreatic endocrine and exocrine function occurred at 22-month follow-up.

Conclusions

Double pancreaticojejunostomy is a promising method for treating the proximal pancreatic stump after central pancreatectomy.

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Authors and Affiliations

  1. Department of General Surgery “Francesco Durante”, “La Sapienza” University, viale del Policlinico, 155, 00161, Rome, Italy

    Piero Chirletti, Nadia Peparini, Roberto Caronna, Gianfranco Fanello & Roberto Luca Meniconi

  2. Department of Anaesthesia, Critical Care, and Pain Therapy, “La Sapienza” University, viale del Policlinico, 155, 00161, Rome, Italy

    Giovanna Delogu

  3. via Quirina 18, 02032, Passo Corese, RI, Italy

    Nadia Peparini

Authors
  1. Piero Chirletti
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  2. Nadia Peparini
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  3. Roberto Caronna
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  4. Gianfranco Fanello
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  5. Giovanna Delogu
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  6. Roberto Luca Meniconi
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Corresponding author

Correspondence to Nadia Peparini.

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Chirletti, P., Peparini, N., Caronna, R. et al. Roux-en-Y end-to-end and end-to-side double pancreaticojejunostomy: application of the reconstructive method of the Beger procedure to central pancreatectomy. Langenbecks Arch Surg 395, 89–93 (2010). https://doi.org/10.1007/s00423-009-0550-4

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  • DOI: https://doi.org/10.1007/s00423-009-0550-4

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