Little has been reported regarding outcomes of pancreaticoduodenectomy (PD) in patients with previous Roux-en-Y gastric bypass (RYGB). We performed a retrospective case-control study of patients undergoing PD after RYGB from January 2012 through July 2017 at 2 institutions. Of the 380 patients who underwent PD, 12 (3.2%) had previous RYGB. They were matched (by age, sex, diagnosis, operative approach, and year of surgery) to 36 non-RYGB patients undergoing PD (1:3 ratio). No difference was found between groups in mean operative time, length of hospitalization, or postoperative morbidity. A history of RYGB in patients with pancreatic head pathology did not delay surgical intervention. Outcomes of PD were similar for patients who did or did not have prior RYGB.
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Postoperative pancreatic fistula
Percutaneous transhepatic cholangiography
Roux-en-Y gastric bypass
Hammond RA, Levine R. The economic impact of obesity in the United States. Diabetes Metab Syndr Obes. 2010;3:285–95. Pubmed Central PMCID: PMC3047996. Epub 2010/01/01
Nguyen NT, Varela JE. Bariatric surgery for obesity and metabolic disorders: state of the art. Nat Rev Gastroenterol Hepatol. 2017;14(3):160–9. Epub 2016/12/03
Kendrick ML, Dakin GF. Surgical approaches to obesity. Mayo Clin Proc. 2006;81(10 Suppl):S18–24. Epub 2006/10/14
Rutkoski JD, Gagne DJ, Volpe C, et al. Pancreaticoduodenectomy for pancreatic cancer after laparoscopic Roux-en-Y gastric bypass. Surg Obes Relat Dis. 2008;4(4):552–4. discussion 4-5. Epub 2008/07/01
Ilic M, Ilic I. Epidemiology of pancreatic cancer. World J Gastroenterol. 2016;22(44):9694–705. Pubmed Central PMCID: PMC5124974. Epub 2016/12/14
Peng JS, Corcelles R, Choong K, Poturalski M, Gandhi N, Walsh RM, et al. Pancreatoduodenectomy after Roux-en-Y gastric bypass: technical considerations and outcomes. HPB (Oxford). 2018;20(1):34–40. Epub 2017/09/12.
Younan G, Tsai S, Evans DB, et al. A novel reconstruction technique during pancreaticoduodenectomy after Roux-En-Y gastric bypass: how I do it. J Gastrointest Surg. 2017;21(7):1186–91. Pubmed Central PMCID: PMC5486682. Epub 2017/04/28
Clavien PA, Barkun J, de Oliveira ML, Vauthey JN, Dindo D, Schulick RD, et al. The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg. 2009;250(2):187–96. Epub 2009/07/30.
Hintze RE, Adler A, Veltzke W, et al. Endoscopic access to the papilla of Vater for endoscopic retrograde cholangiopancreatography in patients with billroth II or Roux-en-Y gastrojejunostomy. Endoscopy. 1997;29(2):69–73. Epub 1997/02/01
Morano WF, Shaikh MF, Gleeson EM, et al. Reconstruction options following pancreaticoduodenectomy after Roux-en-Y gastric bypass: a systematic review. World J Surg Oncol. 2018;16(1):168.
The study was approved by our institutional review board. Informed consent was obtained in the standard manner by our institutions for the procedure and for the use of deidentified clinical data. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Tsamalaidze, L., Asbun, H.J., Costa, R.M. et al. Pancreaticoduodenectomy in Patients with Previous Roux-en-Y Gastric Bypass: a Matched Case-Control Study. OBES SURG 30, 369–373 (2020). https://doi.org/10.1007/s11695-019-04068-z
- Pancreatic cancer
- Roux-en-Y gastric bypass
- Whipple procedure