Reconstruction Options for Pancreaticoduodenectomy in Patients with Prior Roux-en-Y Gastric Bypass.
J Laparoendosc Adv Surg Tech A
; 27(11): 1185-1191, 2017 Nov.
Article
em En
| MEDLINE
| ID: mdl-28609220
ABSTRACT
BACKGROUND:
Patients with prior Roux-en-Y gastric bypass (RYGB) operations for weight loss present reconstruction challenges during a pancreaticoduodenectomy (PD). With over 60,000 RYGB performed annually, the increasing odds of encountering such patients during a PD make it imperative to understand the RYGB anatomy and anticipate reconstruction options. This article describes the possible reconstruction options and their rationale.METHODS:
We reviewed our PD reconstruction options, compared them to what have been described in the literature, and derived a consensus from internal conferences comprising bariatric and hepatopancreatobiliary surgeons to describe known reconstruction options.RESULTS:
In general, reconstruction options can include one of three options (1) remnant gastrectomy, (2) preservation of gastric remnant, or (3) reversal of gastric bypass.CONCLUSION:
This article describes individualized reconstruction options for RYGB patients undergoing PD. The reconstruction options can be tailored to the needs of the patient.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Anastomose em-Y de Roux
/
Pancreaticoduodenectomia
Tipo de estudo:
Observational_studies
Limite:
Humans
Idioma:
En
Revista:
J Laparoendosc Adv Surg Tech A
Ano de publicação:
2017
Tipo de documento:
Article
País de afiliação:
Geórgia