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Antegrade bowel intussusception after remote Whipple and Puestow procedures for treatment of pancreas divisum

Antegrade bowel intussusception after remote Whipple and Puestow procedures for treatment of pancreas divisum
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摘要 To date, antegrade intussusception involving a Roux-en-Y reconstruction has been reported only once. We report a case of acute bowel obstruction due to an intussusception involving two Roux-en-Y limbs in a 40-year-old woman with a history of chronic pancreatitis due to pancreas divisum. Four years preceding this event, the patient had undergone a Whipple procedure, and three years prior to that, a Puestow operation. The patient was successfully treated with bowel resection and a side-to-side anastomosis between the most distal aspect of the bowel and the most distal Roux-en-Y reconstruction, which preserved both Roux-en-Y reconstructions. To date, antegrade intussusception involving a Roux-en-Y reconstruction has been reported only once. We report a case of acute bowel obstruction due to an intussusception involving two Roux-en-Y limbs in a 40-year-old woman with a history of chronic pancreatitis due to pancreas divisum. Four years preceding this event, the patient had undergone a Whipple procedure, and three years prior to that, a Puestow operation. The patient was successfully treated with bowel resection and a sideto-side anastomosis between the most distal aspect of the bowel and the most distal Roux-en-Y reconstruction, which preserved both Roux-en-Y reconstructions.
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2007年第44期5954-5956,共3页 世界胃肠病学杂志(英文版)
关键词 Whipple procedure Puestow procedure Pancreas divisum INTUSSUSCEPTION Bowel obstruction 肠套叠 肠阻塞物 症状 治疗方法
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