Anastomose duodenoduodenal na pancreatoduodenectomia por pancreatite crônica
AUTOR(ES)
Costa, Olívio Louro
FONTE
Revista do Colégio Brasileiro de Cirurgiões
DATA DE PUBLICAÇÃO
2001-04
RESUMO
Literature has been showing a tendency of reducing the limits of Whipple's resection. The main technical advance was the pylorus preserving resection, technique proposed by Traverso and Longmire in 1978. The pancreticoduodenectomy for chronic pancreatitis, is probably the best opportunity to apply this type of procedure. In these specific patients, the author preserved the pylorus and the third portion of the duodenum. The gastrointestinal transit was reconstructed by the duodenumduodenal anastomosis and the bile duct and the pancreas were drained in a Roux-en-way loop . Follow-up showed no important complication, with no problems related to gastric emptying and without pain.
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