{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T13:44:07Z","timestamp":1743687847116},"reference-count":13,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[1988,10,1]],"date-time":"1988-10-01T00:00:00Z","timestamp":591667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1988,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>In pylorus\u2010preserving pancreatoduodenectomy, it has been traditional to perform the duodenojejunostomy distal to the biliojejunal and pancreatojejunal anastomoses. In 11 patients, we performed a new type of reconstruction: the cut end of the duodenum was anastomosed to the fourth portion of the duodenum or to the jejunum, which was shifted retrocolically, then the pancreas and the choledochus were anastomosed to the distal jejunum. In this Billroth I type of reconstruction, regulation of the pH in the duodenum and proximal jejunum and enzymatic digestion of diet in the small intestine contents are thought to be maintained more physiologically than after the former Billroth II type reconstruction, because food or gastric juice passing through the pylorus immediately stimulates the duodenum and the proximal jejunum to release various gut hormones such as secretin, cholecystokinin, somatostatin, gastric inhibitory peptide, etc., resulting in prompt mixing of the food with the pancreatic juice and bile. The postoperative course of the patients was uneventful. They gained weight to the preoperative level within 12\u00a0months. No marginal ulcer has developed in these patients<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01655874","type":"journal-article","created":{"date-parts":[[2005,5,8]],"date-time":"2005-05-08T03:22:01Z","timestamp":1115522521000},"page":"645-650","source":"Crossref","is-referenced-by-count":14,"title":["A new method of reconstruction after pylorus\u2010preserving pancreatoduodenectomy"],"prefix":"10.1002","volume":"12","author":[{"given":"Takashi","family":"Suzuki","sequence":"first","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masayuki","family":"Imamura","sequence":"additional","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takehiro","family":"Kajiwara","sequence":"additional","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hwi \u2010Cha","family":"Kim","sequence":"additional","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Miyashita","sequence":"additional","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takayoshi","family":"Tobe","sequence":"additional","affiliation":[{"name":"First Department of Surgery Faculty of Medicine Kyoto University 54\u00a0Kawaharacho, Shogoin, Sakyoku 606 Kyoto Japan"},{"name":"Department of Surgery Kobe City General Hospital Kobe Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1988,10]]},"reference":[{"key":"e_1_2_1_2_1","unstructured":"Akwari O.E. Itani K.M.F. Coleman R.E. Meyers W.C.:Pylorus preserving pancreatoduodenectomy: A clinical and physiological appraisal. Abstracts of The First World Congress of Hepato\u2010 Pancreatico\u2010Biliary Surgery Nobin editor Lund Sweden 1986 p.166."},{"key":"e_1_2_1_3_1","first-page":"959","article-title":"Preservation of the pylorus in pancreaticoduodenectomy","volume":"146","author":"Traverso L.W.","year":"1978","journal-title":"Surg. Gynecol. 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