Pylorus-preserving pancreatoduodenectomy preserving the right gastroepiploic vessels following proximal gastrectomy: report of two cases

BACKGROUND: Blood flow of the remnant stomach is supplied via the right gastric and right gastroepiploic vessels after proximal gastrectomy (PG). Whether the remnant stomach can be safely preserved in patients who undergo pylorus-preserving pancreatoduodenectomy (PPPD) after PG remains unclear. We h...

Descripción completa

Detalles Bibliográficos
Autores principales: Hirashita, Teijiro, Iwashita, Yukio, Nakanuma, Hiroaki, Tada, Kazuhiro, Saga, Kunihiro, Masuda, Takashi, Endo, Yuichi, Ohta, Masayuki, Matsumoto, Toshifumi, Inomata, Masafumi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6419662/
https://www.ncbi.nlm.nih.gov/pubmed/30874935
http://dx.doi.org/10.1186/s40792-019-0599-4
Descripción
Sumario:BACKGROUND: Blood flow of the remnant stomach is supplied via the right gastric and right gastroepiploic vessels after proximal gastrectomy (PG). Whether the remnant stomach can be safely preserved in patients who undergo pylorus-preserving pancreatoduodenectomy (PPPD) after PG remains unclear. We herein report two cases in which the remnant stomach was safely preserved by performing PPPD. CASE PRESENTATION: The first patient, a 76-year-old man, was diagnosed with cancer of the common bile duct and underwent PPPD 2 years after PG for gastric cancer. The remnant stomach and right gastroepiploic vessels were safely preserved. The second patient, a 56-year-old man with a history of PG for gastric cancer 20 years previously, was diagnosed with cancer of the common bile duct and underwent PPPD. We could safely preserve the remnant stomach and right gastroepiploic vessels. CONCLUSION: The remnant stomach could be preserved in performing PPPD following PG by preserving the right gastroepiploic vessels.

Ejemplares similares