{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:41:32Z","timestamp":1792320092400,"version":"4.4.0"},"reference-count":10,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2005,1,6]],"date-time":"2005-01-06T00:00:00Z","timestamp":1104969600000},"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":[[2005,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pancreas\u2010preserving total duodenectomy (PPTD) was first described by Chung et al. in 1994. Since then, several surgeons have used PPTD to treat diseases that involve the duodenum diffusely but not the head of the pancreas, mostly familial adenomatous polyposis (FAP). The PPTD method has been changed in each report and seems to have improved over time. We performed PPTD on three patients with different diseases\u2010one with intestinal hemorrhage due to small intestinal amyloidosis; another with numerous duodenal gastrinomas in a patient with multiple endocrine neoplasia type 1 (MEN\u20101) and Zollinger\u2010Ellison syndrome (ZES); and the third with numerous duodenal polyposis and FAP\u2010using a new method that is simpler and safer than those previously reported. When resecting the whole duodenum, we performed mucosectomy of the major papillar portion and saved the structure of the major papilla. After an approximately 8\u00a0mm long sphincteropapillotomy, the opened major papilla was anastomosed to an incisional opening of the small intestine. The orifice of the main pancreatic duct (MPD) was stented by a catheter, and the MPD was kept intact under direct vision during the operative procedures. The head of the pancreas was fixed with the small intestine by interrupted 4\u20100 silk sutures. Reconstruction of the alimentary tract was performed after either the Billroth I or the Billroth II method. This is the first report of PPTD in which the entire MPD was preserved to simplify the biliopancreatic\u2010ductal reconstruction.<\/jats:p>","DOI":"10.1007\/s00268-004-7585-z","type":"journal-article","created":{"date-parts":[[2005,1,13]],"date-time":"2005-01-13T08:51:31Z","timestamp":1105606291000},"page":"203-207","source":"Crossref","is-referenced-by-count":57,"title":["New Pancreas\u2010preserving Total Duodenectomy Technique"],"prefix":"10.1002","volume":"29","author":[{"given":"Masayuki","family":"Imamura","sequence":"first","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Izumi","family":"Komoto","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryuichiro","family":"Doi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisashi","family":"Onodera","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Kobayashi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuhiro","family":"Kawai","sequence":"additional","affiliation":[{"name":"Department of Surgery and Surgical Basic Science, Graduate School of Medicine Kyoto University and Misugikai Sato Hospital 54 Kawaracho 606\u20108507 Shogoin, Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2005,1,6]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(05)80198-9"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1159\/000018652"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.5.557"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1091\u2010255X(01)00005\u20101"},{"key":"e_1_2_5_6_2","first-page":"303","article-title":"Erfahrung mit einer das Duodenum eahaltenden Pancreaskopfresektion bei chronischer Pankreatitis","volume":"51","author":"Begen HG","year":"1980","journal-title":"Chirurg"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199504000-00005"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02067363"},{"key":"e_1_2_5_9_2","first-page":"703","article-title":"Gastrinomas in the duodenums of patients with multiple endocrine neoplasia type 1 and the Zollinger\u2010Ellison syndrome","volume":"16","author":"Pipeleers\u2010Marichal M","year":"1990","journal-title":"N. 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J.Med."},{"key":"e_1_2_5_10_2","first-page":"187","article-title":"The choledocho\u2010pancreatico\u2010ductal junction in infantile obstructive jaundice diseases","volume":"30","author":"Suda K","year":"1980","journal-title":"Acta Pathol."},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198904000-00002"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-004-7585-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-004-7585-z\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-004-7585-z","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T11:35:21Z","timestamp":1703417721000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-004-7585-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,1,6]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2005,2]]}},"alternative-id":["10.1007\/s00268-004-7585-z"],"URL":"https:\/\/doi.org\/10.1007\/s00268-004-7585-z","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,1,6]]}}}