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.
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Thirteen patients (38.2%) received E-style duodenojejunostomy, and 21 patients (62.8%) received S-style duodenojejunostomy.
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Comparative analysis showed that in group of E-style, patients had a lower rate of multivisceral resection, delayed gastric emptying (DGE) and intraperitoneal infection
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In this study, the incidence of major complications was up to 35.3% (12/34) and no patient died of complication in perioperative period.
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In two group, there was no difference in the incidence of major complications
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