THE SURGICAL BILIO-DIGESTIVE BYPASS BEFORE CEPHALIC PANCREATICODUODENECTOMY, REPORT OF EIGHT CASES
Journal: International Journal of Advanced Research (Vol.9, No. 9)Publication Date: 2021-09-14
Authors : Mohammed Najih Mohamed Bouzroud Aboulfeth El Mehdi Bouchentouf Sidi Mohammed El Kaoui Hakim; Bounaim Ahmed;
Page : 840-843
Keywords : Adenocarcinoma Of The Head Of Pancreas Preoperative Biliary Drainage Cephalic Pancreaticoduodenectomy;
Abstract
The cephalic pancreaticoduodenectomy (CPD) has a universally high morbidity and surgery in patients with obstructive jaundice is associated with a high risk of postoperative complications especially in patients with high bilirubin levels. For this reason, endoscopic preoperative biliary drainage (PBD) has been proposed to improve the postoperative courses.. Nevertheless, this solution is not always feasible and the use of a surgical bilio-digestive bypass may be necessary, which may complicate a later surgical procedure.In this work we report a case series of patients who underwent CPD preceded by a double surgical bypass and we analyze its impact on morbi-mortality.
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