Next Article in Journal
Pancreatoduodenectomy for Trauma: Applying Novel Reconstruction Techniques
Previous Article in Journal
A New and Simple Extraction Technique for Rectal Foreign Bodies: Removing by Cutting into Small Pieces
 
 
Search for Articles:
Title / Keyword
Author / Affiliation / Email
Journal
Article Type
 
 
Advanced Search
 
Section
Special Issue
Volume
Issue
Number
Page
 
Journals
Surgical Techniques Development
Volume 5
Issue 1
10.4081/std.2015.5715
std-logo
Submit to this Journal Review for this Journal Propose a Special Issue
► Article Menu

Article Menu

share Share announcement Help format_quote Cite question_answer Discuss in SciProfiles thumb_up
...
Endorse textsms
...
Comment
Surgical Techniques Development is published by MDPI from Volume 11 Issue 1 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
first_page
settings
Order Article Reprints
Font Type:
Arial Georgia Verdana
Font Size:
Aa Aa Aa
Line Spacing:
Column Width:
Background:
Article

Reconstruction after Partial Duodenectomy Using a Roux-en-Y Lateral Duodenojejunostomy: A Single Center Retrospective Analysisd

by
Sumana Narayanan
1,
Georg Herlitz
1,
Daniela Gomez
1,
Laleh Melstrom
1,2,
David A. August
1,2 and
Darren R. Carpizo
1,2,*
1
Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ 08901, USA
2
Rutgers Cancer Institute of New Jersey, 195 Little Albany St., New Brunswick, NJ 08903, USA
*
Author to whom correspondence should be addressed.
Surg. Tech. Dev. 2015, 5(1), 5715; https://doi.org/10.4081/std.2015.5715
Submission received: 11 November 2014 / Revised: 11 February 2015 / Accepted: 12 February 2015 / Published: 15 May 2015

Abstract

Oncologic resections of the second and third portions of the duodenum (D2 and D3) via partial duodenectomy can pose a challenging clinical problem. The duodenum must be repaired primarily or reconstructed. We have adopted a method of reconstruction using a Roux-en-Y duodenojejunostomy (D-J) in patients with extensive duodenal wall loss. We report our results in the first series of these cases. A retrospective review of patients who underwent post partial duodenectomy with reconstruction between June 2004 and March 2014 was performed. Five patients underwent partial duodenectomy with reconstruction. Two had resection for extrinsic tumors (colonic adenocarcinoma). Three had intrinsic duodenal tumors (one tubular adenoma, one adenocarcinoma and one gastrointestinal stromal tumor). All patients were reconstructed via retrocolic Roux-en-Y D-J. Mean estimated blood loss was 470 mL with median length of stay of 11 days. Post-operative complications included three intra-abdominal abscesses, one superficial wound infection and one gastrointestinal bleed. There were no anastomotic leaks, injuries to the ampulla of Vater or mortalities. In conclusion, partial duodenectomy of lateral D2/D3 with Roux-en-Y D-J is a relatively safe and effective alternative to partial duodenectomy with primary repair or pancreaticoduodenectomy for certain tumors of the duodenum.
Keywords: duodenum; GIST; adenoma; Roux-en-Y duodenum; GIST; adenoma; Roux-en-Y

Share and Cite

MDPI and ACS Style

Narayanan, S.; Herlitz, G.; Gomez, D.; Melstrom, L.; August, D.A.; Carpizo, D.R. Reconstruction after Partial Duodenectomy Using a Roux-en-Y Lateral Duodenojejunostomy: A Single Center Retrospective Analysisd. Surg. Tech. Dev. 2015, 5, 5715. https://doi.org/10.4081/std.2015.5715

AMA Style

Narayanan S, Herlitz G, Gomez D, Melstrom L, August DA, Carpizo DR. Reconstruction after Partial Duodenectomy Using a Roux-en-Y Lateral Duodenojejunostomy: A Single Center Retrospective Analysisd. Surgical Techniques Development. 2015; 5(1):5715. https://doi.org/10.4081/std.2015.5715

Chicago/Turabian Style

Narayanan, Sumana, Georg Herlitz, Daniela Gomez, Laleh Melstrom, David A. August, and Darren R. Carpizo. 2015. "Reconstruction after Partial Duodenectomy Using a Roux-en-Y Lateral Duodenojejunostomy: A Single Center Retrospective Analysisd" Surgical Techniques Development 5, no. 1: 5715. https://doi.org/10.4081/std.2015.5715

APA Style

Narayanan, S., Herlitz, G., Gomez, D., Melstrom, L., August, D. A., & Carpizo, D. R. (2015). Reconstruction after Partial Duodenectomy Using a Roux-en-Y Lateral Duodenojejunostomy: A Single Center Retrospective Analysisd. Surgical Techniques Development, 5(1), 5715. https://doi.org/10.4081/std.2015.5715

Article Metrics

Back to TopTop