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Pancreaticoduodenectomy after a Roux-En-Y Gastric Bypass

  • Modern Surgery: Technical Innovation
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Abstract

Background

The surgical management of periampullary lesions, status post-Roux-en-Y gastric bypass procedure (RYGBP), poses a challenge. The strategy should focus on managing the gastric remnant.

Methods

We propose a technique of managing the gastric remnant while doing a pancreaticoduodenectomy (PD) in a patient with a previous RYGBP. From September 2005 to June 2008, two patients with a previous RYGBP underwent PD with a modified technique. The records were reviewed with respect to preoperative, intraoperative, and postoperative data.

Results

Both patients were operated for a carcinoma of the head of pancreas. Neither patient underwent a preoperative endoscopic ultrasound. The operating times were 315 and 218 min. There was no mortality or morbidity seen. Neither patient was re-operated. The mean length of stay was 6 days.

Conclusions

The technique suggests an approach of managing the gastric remnant and preventing delayed gastric emptying which resulted in a decreased length of hospital stay.

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Authors and Affiliations

  1. Methodist Dallas Medical Center, Dallas, TX, USA

    Amit S Khithani, David E Curtis, Christos Galanopoulos & Dhiresh Rohan Jeyarajah

Authors
  1. Amit S Khithani
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  2. David E Curtis
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  3. Christos Galanopoulos
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  4. Dhiresh Rohan Jeyarajah
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Corresponding author

Correspondence to Dhiresh Rohan Jeyarajah.

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Khithani, A.S., Curtis, D.E., Galanopoulos, C. et al. Pancreaticoduodenectomy after a Roux-En-Y Gastric Bypass. OBES SURG 19, 802–805 (2009). https://doi.org/10.1007/s11695-008-9767-5

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  • DOI: https://doi.org/10.1007/s11695-008-9767-5

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