A modification of isolated roux loop reconstruction after pancreaticoduodenectomy

Giles J. Toogood, Thomas G. Wilson, Robert T.A. Padbury

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5 Citations (Scopus)


Background: Different techniques of reconstruction following pancreaticoduodenectomy have been described. A new modification using an isolated Roux-en-Y loop is reported. Methods: The isolated loop is taken up to bile duct rather than pancreas as previously described. Results: Seventeen patients have undergone this procedure. Two pancreatic fistulae developed, both following postoperative abscess formation. There was no operative mortality. Conclusion: This reconstruction provides separation of biliary and pancreatic fluid but adds two further benefits: the wide jejunal lumen allows for an easier pancreaticojejunal anastomosis, particularly when operating on a soft pancreas, and separation of gastric and biliary anastomoses prevents the efflux of bile into stomach.

Original languageEnglish
Pages (from-to)363-364
Number of pages2
JournalAustralian and New Zealand Journal of Surgery
Issue number5
Publication statusPublished - May 1999
Externally publishedYes


  • Pancreaticoduodenectomy
  • Reconstruction
  • Roux-en-Y loop


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