Document Detail

Use of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy.
MedLine Citation:
PMID:  20593503     Owner:  NLM     Status:  MEDLINE    
AIM: To evaluate the efficacy of the isolated Roux loop technique in decreasing the frequency of pancreaticojejunal anastomosis failure.
METHODS: We retrospectively reviewed 88 consecutive patients who underwent pancreaticoduodenectomy (standard or pylorus-preserving). Single jejunal loop was used in 42 patients (SL group) while isolated Roux loop was used in 46 patients (RL group). Demographic characteristics (age, gender) and perioperative results (major/minor complications, mortality, hospital stay) were compared between the two groups.
RESULTS: Mortality was almost equal in both groups and overall mortality was 2.27%. Leak rate from the pancreaticojejunal anastomosis and hospital stay were lower in the RL group without significant difference. Morbidity was 39.1% in the RL group, insignificantly higher than the SL group. Operative time was almost 30 min longer in the RL group.
CONCLUSION: The isolated Roux loop, although an equally safe alternative, does not present advantages over the traditional use of a single jejunal loop. Randomized controlled studies are required to further clarify its efficacy.
Konstantinos Ballas; Nikolaos Symeonidis; Savvas Rafailidis; Theodoros Pavlidis; Georgios Marakis; Nikolaos Mavroudis; Athanasios Sakantamis
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  16     ISSN:  2219-2840     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-01     Completed Date:  2010-09-20     Revised Date:  2014-05-20    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  3178-82     Citation Subset:  IM    
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MeSH Terms
Aged, 80 and over
Middle Aged
Pancreatic Neoplasms / surgery
Pancreaticoduodenectomy / adverse effects*,  mortality
Pancreaticojejunostomy / methods*,  mortality
Postoperative Complications / mortality,  surgery*
Reconstructive Surgical Procedures / methods*,  mortality
Retrospective Studies
Treatment Failure
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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