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Use of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy.

TitleUse of isolated Roux loop for pancreaticojejunostomy reconstruction after pancreaticoduodenectomy.
Publication TypeJournal Article
Year of Publication2010
AuthorsBallas, K., Symeonidis N., Rafailidis S., Pavlidis T., Marakis G., Mavroudis N., & Sakantamis A.
JournalWorld J Gastroenterol
Volume16
Issue25
Pagination3178-82
Date Published2010 Jul 7
ISSN2219-2840
KeywordsAdult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Pancreatic Neoplasms, Pancreaticoduodenectomy, Pancreaticojejunostomy, Postoperative Complications, Reconstructive Surgical Procedures, Retrospective Studies, Treatment Failure, Treatment Outcome
Abstract

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.

Alternate JournalWorld J. Gastroenterol.
PubMed ID20593503
PubMed Central IDPMC2896755

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