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©2013 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastrointest Oncol. Dec 15, 2013; 5(12): 235-239
Published online Dec 15, 2013. doi: 10.4251/wjgo.v5.i12.235
Published online Dec 15, 2013. doi: 10.4251/wjgo.v5.i12.235
Management of afferent loop obstruction from recurrent metastatic pancreatic cancer using a venting gastrojejunostomy
Debbie Bakes, Christian Cain, Xiang Da (Eric) Dong, Department of Surgery, Stamford Hospital, Affiliate of Columbia University, Stamford, CT 06904, United Sates
Michael King, Department of Radiology, Stamford Hospital, Affiliate of Columbia University, Stamford, CT 06904, United Sates
Author contributions: All authors contributed to the writing and editing of this manuscript.
Correspondence to: Xiang Da (Eric) Dong, MD, FACS, Department of Surgery, Stamford Hospital, Affiliate of Columbia University, 30 Shelburne Road, Stamford, CT 06904, United Sates. xdong@stamhealth.org
Telephone: +1-203-2765959 Fax: +1-203-2765969
Received: September 17, 2013
Revised: November 12, 2013
Accepted: November 18, 2013
Published online: December 15, 2013
Revised: November 12, 2013
Accepted: November 18, 2013
Published online: December 15, 2013
Core Tip
Core tip: Complications from recurrent pancreatic cancer can result in afferent loop obstruction. This leads to stasis of the biliary, intestinal and pancreatic secretions. We present here a unique approach to manage afferent loop obstruction caused by recurrent peritoneal metastases from pancreatic cancer. The patient underwent decompression of the afferent limb as well as the biliary tree using a venting gastrojejunostomy to the blind loop. This represents a novel surgical approach for management of this complicated and difficult problem.