Short- and long-term outcomes after pancreaticoduodenectomy following total gastorectomy: Report of case series and literature review
| العنوان: | Short- and long-term outcomes after pancreaticoduodenectomy following total gastorectomy: Report of case series and literature review |
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| المؤلفون: | Atsushi Noma, Mitsuru Masuda, Daisuke Ito, Takumi Miyamoto, Satoshi Yokoyama, Kohei Ueno, Yuko Okishio, Masato Ichimiya, Shady EIGhazly Harb, Shinichi Hosokawa, Yoshikuni Yonenaga, Ryo Kamimura, Yasuhiro Higashide, Shiro Uyama, Yoshito Yamashita |
| المصدر: | International Journal of Surgery Case Reports |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | medicine.medical_specialty, business.industry, medicine.medical_treatment, Cancer, Pancreaticoduodenectomy, medicine.disease, Cancer recurrence, Gastroenterology, 03 medical and health sciences, 0302 clinical medicine, Total gastrectomy, 030220 oncology & carcinogenesis, Internal medicine, Pancreatic cancer, medicine, Long term outcomes, Recurrent Cancer, 030211 gastroenterology & hepatology, Surgery, Gastrectomy, Case Series, Afferent loop syndrome, business |
| الوصف: | Highlights • Pancreaticoduodenectomy (PD) following gastrectomy (TG) should be considered challenging even currently although its procedure and clinical value have been being standardized. • Short- and long-term outcomes as well as standard reconstruction method following these procedures remain unclear. In order to clarify these issues, we reviewed worldwide English literature and 4 of our own cases of PD for patients with previous TG. • In cases of PD following TG, previously-made Y-limb should not be used for reconstruction following PD because of probable cause of previously-made Y-limb for ALS. • Long-term outcomes of PD after TG seemed unsatisfactory notably in cases of pancreatic cancer and thus application of PD for patients with previous TG should be carefully decided until reasonable explanation for this dismal outcome is obtained. Purpose Pancreaticoduodenectomy (PD) following gastrectomy (TG) should be considered challenging even currently although its procedure and clinical value have been being standardized. Short- and long-term outcomes as well as standard reconstruction method following these procedures remain unclear. In order to clarify these issues, we reviewed worldwide English literature and 4 of our own cases of PD for patients with previous TG. Methods Clinicopathological variables of 11 cases of PD for patients with previous TG were evaluated. Seven of these 11 were abstracted from a review of worldwide English literature and 4 of 11 were our own cases. Results 3 cases was reconstructed using Y-limb made in previous TG and afferent loop syndrome (ALS) was observed in 2 of 3, in these cases whereas no cases of ALS were found in cases reconstructed using newly-made Y-limb. In cases where PD was indicated for cancer, early cancer death, defined as death related to cancer recurrence observed within 2 years after PD, was observed in 6 of 9 cases. Notably in cases of pancreatic cancer recurrent cancer was diagnosed within 1 year after PD in 5 of 7 cases and 4 of these patients died of pancreatic cancer soon after recurrence. Conclusion In cases of PD following TG, previously-made Y-limb should not be used for reconstruction following PD because of probable cause of previously-made Y-limb for ALS. Long-term outcomes of PD after TG seemed unsatisfactory notably in cases of pancreatic cancer and thus application of PD for patients with previous TG should be carefully decided until reasonable explanation for this dismal outcome is obtained. |
| تدمد: | 2210-2612 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::2796be4436f0e8fe2a351c2953356c22 https://pubmed.ncbi.nlm.nih.gov/28012325 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....2796be4436f0e8fe2a351c2953356c22 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 22102612 |
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