Disconnection of the ampulla of Vater: a new technique for reconstruction.
Hepatogastroenterology
; 45(23): 1479-81, 1998.
Article
en En
| MEDLINE
| ID: mdl-9840088
ABSTRACT
We report the case of a 42 year-old patient who had undergone gastric resection and Billroth I reconstruction for a duodenal ulcer 15 years earlier. The patient was admitted to our Department for a high output biliopancreatic fistula which developed after another gastric resection with Billroth II reconstruction which was performed for a peptic stricture of the gastroduodenal anastomosis. At laparotomy, a complete disconnection of the ampulla of Vater was found, with the duodenal stump oversewn 5 cm distally to the papillary area. After plasty of the biliary and pancreatic ducts, a direct anastomosis between the new ampulla and a Roux-en-Y jejunal loop was performed. The post-operative course was uneventful. The details of the surgical technique are reported.
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Base de datos:
MEDLINE
Asunto principal:
Ampolla Hepatopancreática
/
Gastrectomía
Tipo de estudio:
Etiology_studies
Idioma:
En
Revista:
Hepatogastroenterology
Año:
1998
Tipo del documento:
Article