E-style duodenojejunostomy safe, feasible for reconstruction of distal duodenum resection

Written By : Dr. Shravani Dali |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2022-12-13T20:00:34+05:30 | Updated On 14 Dec 2022 12:11 PM IST

Lesions which originate from or invade distal duodenum, 3rd and 4th segments of duodenum, are commonly tricky and the surgical treatment of them are full of challenges.

Researchers have found in a new study that E-style duodenojejunostomy for the reconstruction of distal duodenum resection is safe and feasible. Further the E-style duodenojejunostomy avoids a blind pouch and prevents the development of blind pouch syndrome.

The findings of the study have been published in the BMC Surgery

Distal duodenal resections are sometimes necessary for radical surgery, but how to restore duodenal continuity is still unclear. This study aimed at determining which style of anastomosis was more suitable for the duodenojejunostomy after resection of distal duodenum.

They retrospectively identified 34 patients who underwent distal duodenum resection at our center between January 2014 and December 2021. According to whether the end or the side of the proximal duodenum was involved in reconstruction, duodenojejunostomy were classified as End style (E-style) and Side style (S-style). Demographic data, clinicopathological details, and postoperative complications were analyzed between two groups.

Results:

• Thirteen patients (38.2%) received E-style duodenojejunostomy, and 21 patients (62.8%) received S-style duodenojejunostomy.

• Comparative analysis showed that in group of E-style, patients had a lower rate of multivisceral resection, delayed gastric emptying (DGE) and intraperitoneal infection

• In this study, the incidence of major complications was up to 35.3% (12/34) and no patient died of complication in perioperative period.

• In two group, there was no difference in the incidence of major complications

The E-style duodenojejunostomy for the reconstruction of distal duodenum resection is safe and feasible. The E-style anastomosis may have potential value in decreasing the occurrence of complications such as DGE and intraperitoneal infection, and the definitive advantages still need to be verified.

Reference:

Liu, W., Wang, J., Ma, L. et al. Which style of duodenojejunostomy is better after resection of distal duodenum. BMC Surg 22, 409 (2022). https://doi.org/10.1186/s12893-022-01850-2

BMC SurgeryDuodenojejunostomyRetroperitoneal sarcomaGastrointestinal stromal tumor

Source : BMC Surgery

Dr. Shravani Dali

Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751