{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T16:39:03Z","timestamp":1770914343203,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2005,6,16]],"date-time":"2005-06-16T00:00:00Z","timestamp":1118880000000},"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":[[2005,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study was conducted retrospectively to examine the efficacy of Traverso reconstruction compared with Billroth I reconstruction after pylorus\u2010preserving pancreaticoduodenectomy, in the prevention of several complications. Pylorus\u2010preserving pancreaticoduodenectomy is an aggressive surgery, and insufficiency of the pancreaticoenterostomy plays an important role in the postoperative progression. However, reports examining the correlation between pancreatic fistula and the type of reconstruction after pylorus\u2010preserving pancreaticoduodenectomy have been limited. Sixty\u2010four patients who underwent pylorus\u2010preserving pancreaticoduodenectomy (33 reconstructed by the Traverso technique and 31 reconstructed by the Billroth I technique) were entered into this study to investigate whether the complications were related to the type of reconstruction procedure employed. Insufficiency of the pancreaticojejunostomy, including major leakage and pancreatic fistula, occurred in 18.2% of the reconstructions by Billroth I and 0% of the reconstructions by Traverso (<jats:italic>p<\/jats:italic> &lt; 0.05). In addition, jejunal obstruction by recurrent tumor in the remnant pancreas was observed in 3 patients reconstructed by Billroth I, and required palliative bypass surgery. Reconstruction by the Traverso procedure after pylorus\u2010preserving pancreaticoduodenectomy is a safe surgical method and has an advantage for advanced pancreatic cancer, which has high risk of jejunal obstruction by recurrent tumor in the remnant pancreas.<\/jats:p>","DOI":"10.1007\/s00268-005-7697-0","type":"journal-article","created":{"date-parts":[[2005,6,10]],"date-time":"2005-06-10T19:33:03Z","timestamp":1118431983000},"page":"881-884","source":"Crossref","is-referenced-by-count":21,"title":["Complications with Reconstruction Procedures in Pylorus\u2010preserving Pancreaticoduodenectomy"],"prefix":"10.1002","volume":"29","author":[{"given":"Masaji","family":"Tani","sequence":"first","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manabu","family":"Kawai","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Terasawa","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Ueno","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Hama","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seiko","family":"Hirono","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinomi","family":"Ina","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhisa","family":"Uchiyama","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Yamaue","sequence":"additional","affiliation":[{"name":"Second Department of Surgery Wakayama Medical University, School of Medicine 811\u20101 Kimiidera 641\u20108510 Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,6,16]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199208000-00004"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005340050122"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199901000\u201000005"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102168.1997.00504.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s005340170022"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199905000\u201000003"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800821205"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.9.1044"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000050177"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.137.11.1289"},{"key":"e_1_2_5_12_2","first-page":"577","article-title":"A new method of pancreaticoduodenectomy designed to preserve liver and pancreatic function","volume":"47","author":"Imanaga H.","year":"1960","journal-title":"Surgery"},{"key":"e_1_2_5_13_2","first-page":"959","article-title":"Preservation of the pylorus in pancreaticoduodenectomy","volume":"146","author":"Traverso LW","year":"1978","journal-title":"Surg. Gynecol. Obstet."},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-193510000-00023"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006676\u2010200211000\u201000008"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199709000\u201000004"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(97)00133\u20106"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002\u20109610(91)90359\u2010L"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1159\/000052029"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(01)00709\u20107"},{"key":"e_1_2_5_21_2","first-page":"419","article-title":"Does prophylactic octreotide decrease the rates of pancreatic fistula and other complications after pancreaticoduodenectomy? Ann","volume":"232","author":"Yeo CJ","year":"2000","journal-title":"Surg."},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199711000\u201000008"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-005-7697-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-005-7697-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-005-7697-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,24]],"date-time":"2023-12-24T09:21:41Z","timestamp":1703409701000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-005-7697-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,6,16]]},"references-count":21,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2005,7]]}},"alternative-id":["10.1007\/s00268-005-7697-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-005-7697-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,6,16]]}}}