Anastomose duodenoduodenal na pancreatoduodenectomia por pancreatite crônica

• Main Author: Olívio Louro Costa
• Format: Article
• Language: English
• Published: Colégio Brasileiro de Cirurgiões
• Series: Revista do Colégio Brasileiro de Cirurgiões
• Subjects: Whipple Procedure; Pylorus-preserving pancreaticoduodenectomy; Duodenumduodenal anastomosis
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912001000200012&lng=en&tlng=en

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.