{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:05:48Z","timestamp":1753877148660,"version":"3.41.2"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":10,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,6,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Pancreaticoduodenectomy is established as the procedure of choice for malignant tumor pathologies of the head of the pancreas or ampulla, where the patient\u2019s life prognosis is low. Complications after pancreaticoduodenectomy (e.g. pancreatic fistulas, hemorrhages, or intra-abdominal collection) are well described in the literature and are generally acute. However, there is still a small risk for late complications (e.g. pancreatitis, pancreatic insufficiency), and due to its low incidence, there has not been a consensus on the treatment. We present the case of an 18-year-old female with recurrent bouts of acute pancreatitis as a late complication of a pancreaticoduodenectomy plus pancreatojejunal anastomosis due to a pseudopapillary tumor of the pancreas. The complication was managed though surgical revision consisting of dilation and stent placement in the stenosis. The patient had an adequate postoperative evolution without further complications. Despite the advances in the surgical field, pancreaticoduodenectomy represents a highly complex surgery with high morbidity and mortality rates. The late complications of this surgery are under continuous study due to its low incidence associated with low patient survival.<\/jats:p>","DOI":"10.1093\/jscr\/rjae239","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T21:37:09Z","timestamp":1718141829000},"source":"Crossref","is-referenced-by-count":0,"title":["Surgical treatment of pancreaticojejunal stenosis after pancreaticoduodenectomy: case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"David","family":"Narvaez Salas","sequence":"first","affiliation":[{"name":"Departamento de Cirug\u00eda General , Hospital Vozandes Quito, Quito 170521, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Estefania","family":"Roldan-Vasquez","sequence":"additional","affiliation":[{"name":"Departamento de Cirug\u00eda General, Hospital Vozandes Quito , Quito 170521, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Negrete Ocampo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Beth Israel Deaconess Medical Center , Harvard Medical School, Boston, MA 02215, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romina","family":"Ballagan Escobar","sequence":"additional","affiliation":[{"name":"Universidad San Francisco de Quito School of Medicine, Colegio de Ciencias de la Salud, , Quito 170901, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan","family":"Roldan Crespo","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Beth Israel Deaconess Medical Center , Harvard Medical School, Boston, MA 02215, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,6,11]]},"reference":[{"key":"2024061109561545200_ref1","doi-asserted-by":"crossref","first-page":"100019","DOI":"10.1016\/j.sipas.2020.100019","article-title":"Pancreaticojejunostomy for pancreatic-enteric anastomosis after pancreaticoduodenectomy: one procedure with multiple techniques","volume":"3","author":"Shinde","year":"2020","journal-title":"Surgery in Practice and Science"},{"key":"2024061109561545200_ref2","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.jviscsurg.2018.07.009","article-title":"Management of delayed stenosis of Pancreatico-enteric anastomosis following pancreatoduodenectomy","volume":"156","author":"Vanbrugghe","year":"2019","journal-title":"J Visc Surg"},{"key":"2024061109561545200_ref3","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s11605-016-3309-6","article-title":"Is revision surgery justified for symptomatic Pancreatico-enteric anastomotic stenosis in long-term survivors following pancreaticoduodenectomy for malignancy?","volume":"21","author":"Wagle","year":"2016","journal-title":"J Gastrointest Surg"},{"key":"2024061109561545200_ref4","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s11605-015-3012-z","article-title":"Pancreaticojejunostomy stricture after pancreatoduodenectomy: outcomes after operative revision","volume":"20","author":"Cioffi","year":"2015","journal-title":"J Gastrointest Surg"},{"key":"2024061109561545200_ref5","doi-asserted-by":"crossref","first-page":"1581","DOI":"10.1007\/s11605-020-04641-3","article-title":"Long-term surgical complications after pancreatoduodenectomy: incidence, outcomes, and risk factors","volume":"24","author":"Brown","year":"2020","journal-title":"J Gastrointest Surg"},{"journal-title":"Gastrointestinal Surgery","article-title":"Stricture at Pancreatico-Jejunostomy or Pancreatico-Gastrostomy","author":"","key":"2024061109561545200_ref6"},{"key":"2024061109561545200_ref7","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1111\/j.1477-2574.2010.00214.x","article-title":"The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures","volume":"12","author":"Demirjian","year":"2010","journal-title":"HPB"},{"key":"2024061109561545200_ref8","doi-asserted-by":"crossref","first-page":"2021","DOI":"10.1007\/s11605-018-3859-x","article-title":"Late pancreatic anastomosis stricture following pancreaticoduodenectomy: a systematic review","volume":"22","author":"Zarzavadjian Le Bian","year":"2018","journal-title":"J Gastrointest Surg"},{"key":"2024061109561545200_ref9","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1111\/j.1477-2574.2009.00154.x","article-title":"Revision of anastomotic stenosis after pancreatic head resection for chronic pancreatitis: is it futile?","volume":"12","author":"Morgan","year":"2010","journal-title":"HPB"},{"key":"2024061109561545200_ref10","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1007\/s11605-007-0159-2","article-title":"Pancreatic redo procedures: to do or not to do\u2014this is the question","volume":"11","author":"Seelig","year":"2007","journal-title":"J Gastrointest Surg"},{"key":"2024061109561545200_ref11","first-page":"1631","article-title":"Open pancreatic stenting with duct-to-mucosa anastomosis for pancreatic-duct obstruction after pancreaticoduodenectomy with pancreaticogastrostomy","volume":"59","author":"Oida","year":"2012","journal-title":"Hepatogastroenterology"}],"container-title":["Journal of Surgical Case 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