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A modified single jejunal loop reconstruction by performing proximal gastrojejunostomy after Whipple’s pancreticoduodenectomy in a low-volume hospital
Ann Hepatobiliary Pancreat Surg 2019 Feb;23(1):65-8
Published online February 28, 2019;
Copyright © 2019 Korean Association of Hepato-Biliary-Pancreatic Surgery.

Ali Naki Yücesoy

General Surgery Department, Batı Bahat Hospital, Istanbul, Turkey
Received May 24, 2018; Revised September 28, 2018; Accepted October 4, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Backgrounds/Aims: It is needed to ensure bowel and biliary tract continuity after pancreaticoduodenectomies. It is possible to find a variety of reconstruction methods in literature.
Methods: We realized a modified reconstruction method by performing proximal gastrojejunostomy, on a jejunal loop after Whipple’s pancreticoduodenectomy, with surgical succes in 7 patients with pancreatic head or periampullary carcinomas in a low-volume hospital 2009-2017.
Results: A modified jejunal loop reconstruction method, was performed in 7 patients after Whipple’s pancreaticoduodenectomy. We had no perioperative mortality. Pancreatic fistula treated with medical attempts was observed following post-operative pancreatitis in a patient. No marginal ulceration was observed. Delayed gastric emptying was not observed, except for post-operative acute pancreatitis and pancreatic fistula developing in a patient.
Conclusions: A modified reconstruction method by performing proximal gastrojejunostomy on a jejunal loop, can be considered as alternative reconstructive surgical procedure after pancreaticoduodenectomy.
Keywords : Pancreaticoduodenectomy; Delayed gastric emptying; Marginal ulceration


February 2019, 23 (1)