The Practice of Pancreatic Resection after Roux-en-Y Gastric Bypass
Abstract
The morbid obesity epidemic in the United States has resulted in increasing numbers of patients who have undergone Roux-en-Y gastric bypass who require surgical management of nonbariatric disorders. When pancreatic resection is indicated in bariatric patients, consideration of the altered foregut anatomy can be applied to the principles of pancreatic resection to foster effective techniques that minimize operative complications. A retrospective review and analysis of bariatric patients who underwent pancreatic resection at the Medical University of South Carolina Digestive Center over a 2-year period (2006 to 2007) was conducted to assess indications for operation, operative techniques, and postoperative outcome in patients with previous Roux-en-Y gastric bypass. There were five patients (four female, one male) identified with a mean age of 35 years (range, 32-50 years). The mean time interval from gastric bypass to pancreatic resection was 42.6 months (range, 10-72 months). Indications for pancreatic operations were islet hyperplasia in two patients, chronic pancreatitis in two, and serous cystadenoma in one. Two patients underwent duodenal-preserving pancreatic head resection (Beger procedure) and three underwent distal pancreatectomy and splenectomy. Mean length of hospital stay was 11.4 days (range, 5-22 days). Two patients had extended hospital stay as a result of gastrointestinal ileus. There was no other operative morbidity or mortality. Mean length of patient follow u…
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Pancreatic resection, the most commonly reported procedure, was performed in approximately 67% of patients.
“Pancreatic resection, the most commonly reported procedure, was performed in approximately 67% of patients (66,103,105,107,114,116-123).”
From Dumping syndrome after esophageal, gastric or bariatric surgery: Pathophysiology, diagnosis, and management (2017) · cites this paper as [118]
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- Authors
- Barbour, J. R., Thomas, B. N., Morgan, K. A., Byrne, T. K., & Adams, D. B.
- Affiliations
- Medical University of South Carolina (US)
- Corresponding author
- Barbour, John R.
- Venue
- The American Surgeon™
- Publisher
- SAGE Publications
- Published
- 2008-08
- Volume
- 74
- Issue
- 8
- Pages
- 729-734
- ISSN
- 0003-1348 (ISSN-L)
- 1555-9823
- OpenAlex
- W2177634336
- Cited by
- 16
- References
- 0
- Citations by year
- 2024: 1 · 2023: 1 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 1 · 2014: 1 · 2013: 1
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The American Surgeon (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Keywords
- pancreatic resection, Roux-en-Y gastric bypass, bariatric surgery, duodenal-preserving pancreatic head resection, Beger procedure, distal pancreatectomy, splenectomy, islet hyperplasia, chronic pancreatitis, serous cystadenoma, Roux limb, postoperative ileus, morbid obesity
- MeSH terms
- Adult, Anastomosis, Roux-en-Y, Female, Humans, Male, Obesity, Morbid, Pancreatectomy, Pancreatic Diseases, Postoperative Complications, Retrospective Studies, Gastric Bypass, Treatment Outcome
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