A new approach for the reconstruction of continuity of the alimentary tract after pancreaticoduodenotomy.

To assess the value of a new method of reconstruction after PD, 14 patients are presented who underwent this operation. We used two jejunal segments for the reconstruction after PD, one for the biliary tract and pancreatic anastomosis and one for the gastrojejunal anastomosis. Additionally truncal vagotomy was carried out in all 14 patients. Pancreatic anastomotic leakage developed in two patients who responded favorably to conservative treatment and two patients died. Long term results revealed a satisfactory nutritional status, satisfactory quality of postoperative life and absence of dumping, steatorrhea and marginal ulceration. The results are attributed to the aforementioned reconstruction after PD. The encouraging results with the present series of patients prompted us to recommend this type of reconstruction. From the results of the present study, we recommend this type of reconstruction after PD as a single, safe and effective approach in reconstructing continuity of the alimentary tract after the aforementioned operation.