UNIGE document Scientific Article - Case report
previous document  unige:19152  next document
add to browser collection
Title

Modified digestive reconstruction with midgut transposition after pylorus-preserving pancreaticoduodenectomy for pancreatic head tumor in childhood

Authors
Uchida, Keiichi
Joseph, Jean-Marc
Published in Journal of Pediatric Surgery. 2008, vol. 43, no. 10, p. 1932-1934
Abstract We describe a new procedure of digestive reconstruction after pylorus-preserving pancreaticoduodenectomy in a 13-year-old girl presenting with a large solid and papillary epithelial neoplasm of the pancreatic head. A midgut transposition (like in a cure of midgut malrotation) was easily performed after tumor removal with minimal additional dissection. Bilio- and pancreaticodigestive anastomoses were performed on 2 separate Roux-en-Y loops, placed behind the postpyloric jejunal loop. Separate biliary and pancreatic conduits prevented both activation of pancreatic enzymes at the pancreatic duct anastomosis and reflux of pancreatic juice in the bile ducts. Midgut transposition avoided any traction or twist of the 3 isoperistaltic intestinal loops. Postoperative course was uneventful. This technique may be useful after pancreatic head resections in children and adolescents.
Keywords AdolescentAnastomosis, Roux-en-YCystadenoma, Papillary/*surgeryEnzymes/therapeutic useExocrine Pancreatic Insufficiency/drug therapy/etiologyFemaleHumansJejunum/surgeryPancreatic Neoplasms/*surgeryPancreaticoduodenectomy/adverse effects/*methodsPylorusRemission Induction
Identifiers
PMID: 18926236
Full text
Structures
Research group Recherche clinique en chirurgie pédiatrique (886)
Citation
(ISO format)
UCHIDA, Keiichi et al. Modified digestive reconstruction with midgut transposition after pylorus-preserving pancreaticoduodenectomy for pancreatic head tumor in childhood. In: Journal of Pediatric Surgery, 2008, vol. 43, n° 10, p. 1932-1934. https://archive-ouverte.unige.ch/unige:19152

180 hits

0 download

Update

Deposited on : 2012-03-27

Export document
Format :
Citation style :