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Efferent Limb Obstruction After Pancreaticojejunostomy A Late Cause of Pancreatitis Following Whipple Resection
John M. Howard, MD
Arch Surg. 1991;126(9):1157-1159.
Abstract
A previously unreported late complication after Whipple resection of the head of the pancreas was recognized in two patients. Obstruction by adhesions and kinking of the efferent jejunal conduit between the proximal pancreaticojejunostomy and the distal choledochojejunostomy led to repetitive episodes of acute pancreatitis without jaundice. Operative recognition and correction of the obstruction resulted in prevention of further attacks.
(Arch Surg. 1991;126:1157-1159)
Author Affiliations
From the Department of Surgery, The Toledo (Ohio) Hospital and The Medical College of Ohio, Toledo.
Footnotes
Accepted for publication June 5, 1991.
Reprint requests to The Harris McIntosh Towers, 2121 Hughes Dr, Toledo, OH 43606 (Dr Howard).
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