{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T22:10:49Z","timestamp":1772662249462,"version":"3.50.1"},"reference-count":7,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Conventional jejunal reconstruction procedures for large duodenal defects include jejunal serosal patch repair and duodenojejunostomy and have some risks of postoperative complications. The pedicled jejunal flap is used for reconstruction following laryngopharyngectomy, esophagectomy and other gastrointestinal surgeries. We report two cases of successful closure of duodenal defects after partial duodenectomies by pedicled jejunal flap reconstruction. Case 1: A 72-year-old man was diagnosed with gastrointestinal stromal tumor by esophagogastroduodenoscopy (EGD), endoscopic ultrasound-guided fine needle aspiration biopsy and computed tomography (CT). Case 2: A 63-year-old woman was diagnosed with early duodenal cancer using EGD and CT. Partial duodenectomy and pedicled jejunal flap reconstruction were performed in both patients. A part of the jejunum was formed into a pedicled flap to fit the duodenal defect and duodenojejunal anastomosis was performed. The patients did not report any postoperative gastrointestinal symptoms or abnormal findings during follow-up EGD or upper gastrointestinal radiography.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa296","type":"journal-article","created":{"date-parts":[[2020,7,14]],"date-time":"2020-07-14T19:07:21Z","timestamp":1594753641000},"source":"Crossref","is-referenced-by-count":0,"title":["Pedicled jejunal flap reconstruction for partial duodenectomy: a report of two cases"],"prefix":"10.1093","volume":"2020","author":[{"given":"Ryohei","family":"Takei","sequence":"first","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masashi","family":"Hashimoto","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Zaimoku","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirohumi","family":"Terakawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Itsuro","family":"Terada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuji","family":"Tsukioka","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masato","family":"Kiriyama","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kurobe City Hospital, Kurobe, Toyama 938-8502, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"2020100910242447000_ref1","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.bjps.2012.08.033","article-title":"Jejunal free flap reconstruction of the pharyngolaryngectomy defect: 368 consecutive cases","volume":"66","author":"Perez-Smith","year":"2013","journal-title":"J Plast Reconstr Aesthet Surg"},{"key":"2020100910242447000_ref2","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1097\/PRS.0000000000006171","article-title":"The supercharged pedicled jejunal flap for total esophageal reconstruction: a retrospective review of 100 cases","volume":"144","author":"Mays","year":"2019","journal-title":"Plast Reconstr Surg"},{"key":"2020100910242447000_ref3","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.3919\/jjsa.80.2018","article-title":"A case of jejunal mucosal patch repair for local excision of a duodenal gastrointestinal tumor associated with neurofibromatosis type I","volume":"80","author":"Higashi","year":"2019","journal-title":"J Jpn Surg Assoc"},{"key":"2020100910242447000_ref4","first-page":"117","article-title":"Three cases of mucosal jejunal patches which were applied for massive duodenal injury","volume":"55","author":"Ohta","year":"1994","journal-title":"J Jpn Soc Clin Surg"},{"key":"2020100910242447000_ref5","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/0002-9610(76)90022-2","article-title":"The open jejunum: a patch for large duodenal defects","volume":"131","author":"Asfaw","year":"1976","journal-title":"Am J Surg"},{"key":"2020100910242447000_ref6","first-page":"907","article-title":"Assessing two methods of repair of duodenal defects, jejunal serosal patch and jejunal pedicled flap (an experimental animal study)","volume":"64","author":"Ziaian","year":"2014","journal-title":"J Pak Med Assoc"},{"key":"2020100910242447000_ref7","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1308\/rcsann.2018.0043","article-title":"Postoperative monitoring of the free jejunal flap: use of colour duplex and systematic review of available techniques","volume":"100","author":"Cuthbert","year":"2018","journal-title":"Ann R Coll Surg Engl"}],"container-title":["Journal of Surgical Case 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