Management of afferent loop obstruction from recurrent metastatic pancreatic cancer using a venting gastrojejunostomy  

作　　者：Debbie Bakes Christian Cain Michael King Xiang Da (Eric) Dong 

机构地区：[1]Department of Surgery,Stamford Hospital,Affiliate of Columbia University [2]Department of Radiology,Stamford Hospital,Affiliate of Columbia University [3]Department of Surgery, Stamford Hospital, Affiliate of Columbia University

出　　处：《World Journal of Gastrointestinal Oncology》2013年第12期235-239,共5页世界胃肠肿瘤学杂志（英文版）（电子版）

摘　　要：Pancreatic cancer is an aggressive malignancy poten-tially curable with surgical intervention. Following pan-creaticoduodenectomy for suspected pancreatic head malignancy, patients have a high risk for both immedi-ate and delayed problems due to surgical complica-tions and recurrent disease. We report here a patient with pancreatic cancer treated with pancreaticoduode-nectomy who developed recurrent disease resulting in obstruction of the afferent limb. The patient developed biliary obstruction and cholangitis at presentation. Her biliary tree failed to dilate which precluded safe percu-taneous biliary decompression. During surgical explo-ration, she was found to have a dilated afferent limb at the level of the transverse mesocolon. The patient underwent decompression of the afferent limb as well as the biliary tree using a venting gastrojejunostomy to the blind loop. This represents a novel surgical ap-proach for management of this complicated and diffi-cult problem.Pancreatic cancer is an aggressive malignancy poten-tially curable with surgical intervention. Following pan-creaticoduodenectomy for suspected pancreatic head malignancy, patients have a high risk for both immedi-ate and delayed problems due to surgical complica-tions and recurrent disease. We report here a patient with pancreatic cancer treated with pancreaticoduode-nectomy who developed recurrent disease resulting in obstruction of the afferent limb. The patient developed biliary obstruction and cholangitis at presentation. Her biliary tree failed to dilate which precluded safe percu-taneous biliary decompression. During surgical explo-ration, she was found to have a dilated afferent limb at the level of the transverse mesocolon. The patient underwent decompression of the afferent limb as well as the biliary tree using a venting gastrojejunostomy to the blind loop. This represents a novel surgical ap-proach for management of this complicated and diffi-cult problem.

关 键 词：AFFERENT LOOP CHOLANGITIS Pancreatic can-cer Biliary OBSTRUCTION GASTROJEJUNOSTOMY 

分 类 号：R735.9[医药卫生—肿瘤]