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Gastrointestinal Endoscopy 1989
Topics: Cholestasis; Drainage; Duodenoscopy; Duodenostomy; Enterostomy; Humans; Male; Middle Aged; Pancreatic Neoplasms
PubMed: 2714591
DOI: 10.1016/s0016-5107(89)72719-x -
Advances in Surgery 2009Choledochal cyst disease is uncommon. The presentation of the disease is being seen more commonly in the adult population than in the pediatric population, particularly... (Review)
Review
Choledochal cyst disease is uncommon. The presentation of the disease is being seen more commonly in the adult population than in the pediatric population, particularly in the West, making this a diagnosis a general surgeon should consider when evaluating a patient with biliary disease. The diagnosis of this disease has been greatly facilitated by improving technologies, particularly MRCP and interventional techniques of PTC. The consequences of not treating choledochal cysts can result in malignant transformation. When possible, complete surgical excision of the cyst is recommended and should be performed as early as possible to prevent complications and the progression of liver fibrosis. Long-term follow-up is required for surveillance for late complications and for cancer, particularly in type IV and V choledochal cysts where complete excision is not possible.
Topics: Cholangiopancreatography, Endoscopic Retrograde; Cholangiopancreatography, Magnetic Resonance; Cholecystectomy; Choledochal Cyst; Drainage; Duodenostomy; Humans; Jejunostomy; Prognosis
PubMed: 19845181
DOI: 10.1016/j.yasu.2009.02.007 -
Surgical Laparoscopy & Endoscopy Aug 1995We performed a distal gastrectomy, including regional lymph node dissection, under laparoscopic observation followed by Billroth I. (B-I) anastomosis using autosuture in...
We performed a distal gastrectomy, including regional lymph node dissection, under laparoscopic observation followed by Billroth I. (B-I) anastomosis using autosuture in five patients with early gastric cancer. We had previously evaluated the technique for reconstructive surgery in animal experiments. Our method was determined to be safe without marked deformation caused by applying the autosuture for gastroduodenostomy. The wound was small, and an almost closed operation was possible. Furthermore, unlike endoscopic mucosal resection or laparoscopic partial resection, a major part of the regional lymph nodes can be extirpated; the lesion site may not be limited to the half of the stomach on the distal side. Our method of distal gastrectomy under laparoscopy is a potentially useful limited operation in patients with early gastric cancer.
Topics: Adenocarcinoma; Aged; Anastomosis, Surgical; Duodenostomy; Female; Gastrectomy; Humans; Laparoscopy; Lymph Node Excision; Male; Middle Aged; Stomach Neoplasms
PubMed: 7551280
DOI: No ID Found -
Journal of Surgical Oncology Dec 1996
Review
Topics: Absorption; Anastomosis, Roux-en-Y; Anastomosis, Surgical; Dietary Fats; Duodenostomy; Esophagus; Gastrectomy; Gastrointestinal Neoplasms; Humans; Intestinal Mucosa; Jejunostomy; Randomized Controlled Trials as Topic; Reoperation; Surgical Stapling; Suture Techniques
PubMed: 8982364
DOI: 10.1002/(SICI)1096-9098(199612)63:4<215::AID-JSO1>3.0.CO;2-F -
The American Surgeon Mar 2019
Topics: Diagnosis, Differential; Duodenostomy; Female; Humans; Middle Aged; Superior Mesenteric Artery Syndrome; Tomography, X-Ray Computed
PubMed: 30947784
DOI: No ID Found -
World Journal of Gastroenterology Nov 2012To evaluate whether antecolic reconstruction for duodenojejunostomy (DJ) can decrease delayed gastric emptying (DGE) rate after pylorus-preserving... (Meta-Analysis)
Meta-Analysis Review
Does antecolic reconstruction for duodenojejunostomy improve delayed gastric emptying after pylorus-preserving pancreaticoduodenectomy? A systematic review and meta-analysis.
AIM
To evaluate whether antecolic reconstruction for duodenojejunostomy (DJ) can decrease delayed gastric emptying (DGE) rate after pylorus-preserving pancreaticoduodenectomy (PPPD) through literature review and meta-analysis.
METHODS
Articles published between January 1991 and April 2012 comparing antecolic and retrocolic reconstruction for DJ after PPPD were retrieved from the databases of MEDLINE (PubMed), EMBASE, OVID and Cochrane Library Central. The primary outcome of interest was DGE. Either fixed effects model or random effects model was used to assess the pooled effect based on the heterogeneity.
RESULTS
Five articles were identified for inclusion: two randomized controlled trials and three non-randomized controlled trials. The meta-analysis revealed that antecolic reconstruction for DJ after PPPD was associated with a statistically significant decrease in the incidence of DGE [odds ratio (OR), 0.06; 95% CI, 0.02-0.17; P < 0.00001] and intra-operative blood loss [mean difference (MD), -317.68; 95% CI, -416.67 to -218.70; P < 0.00 001]. There was no significant difference between the groups of antecolic and retrocolic reconstruction in operative time (MD, 25.23; 95% CI, -14.37 to 64.83; P = 0.21), postoperative mortality, overall morbidity (OR, 0.54; 95% CI, 0.20-1.46; P = 0.22) and length of postoperative hospital stay (MD, -9.08; 95% CI, -21.28 to 3.11; P = 0.14).
CONCLUSION
Antecolic reconstruction for DJ can decrease the DGE rate after PPPD.
Topics: Aged; Aged, 80 and over; Chi-Square Distribution; Duodenostomy; Female; Gastric Emptying; Gastroparesis; Humans; Jejunostomy; Length of Stay; Male; Middle Aged; Odds Ratio; Pancreaticoduodenectomy; Plastic Surgery Procedures; Risk Factors; Time Factors; Treatment Outcome
PubMed: 23180954
DOI: 10.3748/wjg.v18.i43.6315 -
Proceedings of the Staff Meetings. Mayo... Feb 1951
Topics: Amputation Stumps; Duodenostomy; Duodenum; Gastrectomy; Humans; Precancerous Conditions; Soft Tissue Neoplasms
PubMed: 14808444
DOI: No ID Found -
Archivio Italiano Di Chirurgia 1954
Topics: Bile Ducts; Common Bile Duct; Duodenostomy; Duodenum; Humans
PubMed: 13229549
DOI: No ID Found -
Journal of Pediatric Surgery May 1992Four neonates with double duodenal atresia/stenosis are described. Preoperative plain radiographs in two patients demonstrated atypical appearances suggestive of complex... (Review)
Review
Four neonates with double duodenal atresia/stenosis are described. Preoperative plain radiographs in two patients demonstrated atypical appearances suggestive of complex pathology. Cystic dilatation of the second part of the duodenum was observed at laparotomy in two patients and in one of these the "cyst" was palpable preoperatively, causing diagnostic confusion. All four patients underwent successful surgery but one infant with Down's syndrome subsequently died of congenital heart disease.
Topics: Abnormalities, Multiple; Anastomosis, Surgical; Duodenal Obstruction; Duodenostomy; Duodenum; Female; Humans; Infant, Newborn; Intestinal Atresia; Jejunum; Male
PubMed: 1625124
DOI: 10.1016/0022-3468(92)90450-l -
California Medicine Mar 1956Four hundred consecutive cases in which subtotal gastrectomy was done for duodenal and gastric ulcer were reviewed. The mortality rate was 3.5 per cent. There were 57...
Four hundred consecutive cases in which subtotal gastrectomy was done for duodenal and gastric ulcer were reviewed. The mortality rate was 3.5 per cent. There were 57 complications, an incidence of 14 per cent. Of the fatal complications, duodenal stump disruption was the most common and serious-11 cases and 7 deaths. The other fatal complications included various types of obstruction, pulmonary embolus, hemorrhagic pancreatitis and separation of the abdominal incision. Of the nonfatal complications, obstruction of the stoma, anastomotic bleeding, pneumonia, venous thrombosis and wound infection were the most common. Catheter duodenostomy is helpful in the closure of a difficult duodenal stump. Where this was done in the present series there were no fatalities. Electrolyte balance, correction of protein deficiencies, blood replacement and the judicious use of antibiotics are important prophylactic factors against postoperative complications.
Topics: Anti-Bacterial Agents; Death; Duodenostomy; Duodenum; Gastrectomy; Gastrointestinal Hemorrhage; Humans; Incidence; Pancreatitis; Peptic Ulcer; Postoperative Complications; Pulmonary Embolism; Replantation; Stomach Ulcer
PubMed: 13304670
DOI: No ID Found