Carcinoma of ampulla of vater successful radical resection

Watson, K. C.

doi:10.1002/bjs.18003112406

Cited by 189 publications

(80 citation statements)

References 6 publications

(1 reference statement)

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“…10 Regarding pancreaticoduodenectomy for chronic pancreatitis, controversy exists with respect to the choice of operation and the expected rate of successful outcomes. The PPPD was first described by Watson in 1944 11 and reintroduced by Traverso and Longmire in 1978 9 to improve on the nutritional deficiencies associated with the classic Whipple. Large published series, however, report successful weight maintenance or gain in more than 80% of patients after either operation.…”

Section: Resultsmentioning

confidence: 99%

Outcome of Pancreaticoduodenectomy With Pylorus Preservation or With Antrectomy in the Treatment of Chronic Pancreatitis

Jimenez¹,

Castillo²,

Rattner³

et al. 2000

Annals of Surgery

219

130

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Section: Resultsmentioning

confidence: 99%

Outcome of Pancreaticoduodenectomy With Pylorus Preservation or With Antrectomy in the Treatment of Chronic Pancreatitis

Jimenez¹,

Castillo²,

Rattner³

et al. 2000

Annals of Surgery

219

130

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“…The classic Whipple procedure, as it is still performed today, involves en bloc resection of the pancreatic head, the duodenum, the distal common bile duct, the gallbladder, and the distal stomach together with the adjacent lymphnodes, followed by reconstruction of the gastrointestinal route. In 1944, Watson modified the classic Whipple procedure towards a pylorus-preserving PD in a patient with carcinoma of the papilla of Vater (9). Then a few years later, Traverso and Longmire popularized the preservation of the pylorus in patients with chronic pancreatitis and duodenal cancer (10).…”

Section: Introductionmentioning

confidence: 99%

Pylorus preservation pancreatectomy or not

Klaiber

Probst

Büchler

et al. 2017

Transl. Gastroenterol. Hepatol.

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Pancreaticoduodenectomy (PD) is the treatment of choice for various benign and malignant tumors of the pancreatic head or the periampullary region, and the only hope for cure in patients with cancer at this side. While it has been associated with high morbidity and mortality rates in the last century, its centralization in specialized institutions together with refinements in the operative technique and better management of postoperative complications have made PD a standardized, safe procedure. Besides the classic Whipple procedure including distal gastrectomy, two variations of PD with or without pylorus resection, but preservation of the entire stomach in either procedure exist today. Pylorus-preserving PD has gained wide acceptance as standard procedure and is being performed by an increasing number of pancreatic surgeons.After its oncological adequacy was questioned initially, pylorus-preserving PD was shown to be equivalent to the classic Whipple procedure regarding tumor recurrence and long-term survival. Moreover, operation time and blood loss were shown to be reduced in the pylorus-preserving procedure and benefits in nutritional status and quality of life were observed. However, preservation of the pylorus has been suggested to result in an increased incidence of postoperative delayed gastric emptying (DGE). In this context, pylorus-resecting PD has become popular especially in Japan with the aim to prevent DGE by removal of the pylorus but preservation of the stomach. In contrast to positive results from early studies, latest high-quality randomized controlled trial (RCT) data show that pylorus resection does not reduce DGE compared to the pyloruspreserving operation. Non-superiority of pylorus resection was also confirmed in current meta-analysis on this topic. This article summarizes the existing evidence on PD with or without pylorus preservation and derives recommendations for daily practice.

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“…After Traverso and Longmire (1978) devised the pylorus-preserving procedure, several modifications have been done on the method (Flautner et al 1985; Kim et al 1987;Takada et al 1989). Kim et al (1987) anastomosed the duodenal bulb to the stump of the jejunum as the method of Watson (1944), and both the bile and pancreatic ducts to the upper jejunum as the method of Imanaga (1960). Takada et al (1989) also did the reconstruction in the Billroth-I type after the pyloruspreserving pancreato-duodenectomy, but the pancreatic duct was anastomosed to the stomach as the method of Flautner et al (1985).…”

Section: Discussionmentioning

confidence: 99%

Alimentary Tract Reconstruction following Pancreatoduodenectomy: A New Method with Improvements in the Nutritional State and Gastrointestinal Hormone Release in Dogs.

Imamura¹,

Yamauchi²,

Kakizaki³

1991

Tohoku J. Exp. Med.

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Experiments were performed on adult beagle dogs to investigate the nutritional state and the release of gastrointestinal hormones after pancreatoduodenectomy. A new variation of reconstruction of the alimentary tract was devised and compared with the classical Child's method. In our method, the remaining stomach was anastomosed to the oral stump of the jejunum in an end-to-end fashion. A short mid-intestinal segment was interposed between the pancreatic and bile ducts and the upper jejunum. During the observation period of six months after surgery, the loss of body weight was significantly smaller in the new method, and the frequency of both morbidity and mortality was lower. Although perforated stomal ulcer was observed in one dog after the Child's method, no peptic ulcer was detectable after our method. The integrated increase of plasma triglyceride in response to ingested butter was slightly greater in our method than in the Child's. At six weeks after surgery, plasma concentrations of both cholecystokinin and secretin, not only during fasting but after intake of butter, were augmented in both groups, particularly in the group receiving the new method. These results indicate that retaining the remaining upper small intestine as the food pathway is effective in maintaining good nutritional state, and in facilitating the release of gastrointestinal hormones.dog ; pancreatoduodenectomy ; alimentary tract reconstruction ; cholecystokinin ; secretin The typical pancreatoduodenectomy procedure involves a massive resection of the digestive organs in the upper abdomen : the resection of the distal stomach, the duodenum, the upper jejunum, the gallbladder and the bile duct together with the head of the pancreas. As a result, a number of undesirable consequences, such as maldigestion of nutrients, glucose intolerance and disturbances in bone metabolism have been brought about (Miyata et al. 1974;Sato et al. 1986;Yagi et al.

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Carcinoma of ampulla of vater successful radical resection

Cited by 189 publications

References 6 publications

Outcome of Pancreaticoduodenectomy With Pylorus Preservation or With Antrectomy in the Treatment of Chronic Pancreatitis

Outcome of Pancreaticoduodenectomy With Pylorus Preservation or With Antrectomy in the Treatment of Chronic Pancreatitis

Pylorus preservation pancreatectomy or not

Alimentary Tract Reconstruction following Pancreatoduodenectomy: A New Method with Improvements in the Nutritional State and Gastrointestinal Hormone Release in Dogs.

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