Edorium Journal of

Gastrointestinal Surgery

 
  Table of Contents    
Case Report
 
Pancreaticoduodenectomy with a double Roux-en-Y reconstruction performed after Billroth II gastric resection
Zijah Rifatbegovic1, Emir Ahmetasevic1, Amra Mestric2, Zlatan Mehmedovic1, Majda Mehmedovic3
1University Clinical Center Tuzla, Clinic of surgery Tuzla, Bosnia and Herzegovina.
2University of Tuzla, Faculty of medicine Tuzla, Bosnia and Herzegovina.
3University Clinical Center Tuzla, Department of gastroenterology, Bosnia and Herzegovina.

Article ID: 100002G02ZR2016
doi:10.5348/G02-2016-3-CR-1

Address correspondence to:
Zijah Rifatbegovic
University Clinical Center Tuzla
Trnovac bb, 75000 Tuzla
Bosnia and Herzegovina

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How to cite this article:
Rifatbegovic Z, Ahmetasevic E, Mestric A, Mehmedovic Z, Mehmedovic M. Pancreaticoduodenectomy with a double Roux-en-Y reconstruction performed after Billroth II gastric resection. Edorium J Gastrointest Surg 2016;3:1–4.


Abstract
Introduction: In the presence of the pancreatic head malignancy the resection is indicated in the absence of proven metastases and if the tumor is of such size that the major blood vessels are not implicated. When the pancreaticoduodenectomy is performed the double Roux-en-Y digestive tract reconstruction can be addressed to decrease the liquid flow and pressure in the duodenum and reduce the risks of traction, twisting and angularity of the jejunal loop associated with common reconstruction methods.
Case Report: A 68-year-old man was admitted with abdominal pain, vomiting, jaundice, and weight loss. Before admission to the Surgery clinic he had underwent a diagnostic evaluation where computed tomography (CT) scanning revealed pancreatic head mass. The patient had gastric resection due to benign gastric ulcer disease 23 years prior. We performed a pancreaticoduodenectomy and used an efferent jejunal loop from the gastrojejunal anastomosis to perform a double Roux-en-Y anastomosis.
Conclusion: We showed that double Roux-en-Y reconstruction after the pancreaticoduodenectomy can be successful way for reconstruction in case that gastric resection was performed prior.

Keywords: Pancreaticoduodenectomy, Double Roux-en-Y reconstruction, Gastric resection


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Author Contributions
Zijah Rifatbegovic – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Emir Ahmetasevic – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amra Mestric – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Zlatan Mehmedovic – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Majda Mehmedovic – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Zijah Rifatbegovic et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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