Case Report
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World J Gastroenterol. Mar 14, 2014; 20(10): 2721-2724
Published online Mar 14, 2014. doi: 10.3748/wjg.v20.i10.2721
Pancreaticoduodenectomy following total gastrectomy: A case report and literature review
Satoshi Yokoyama, Akinori Sekioka, Kohei Ueno, Yasuhiro Higashide, Yuko Okishio, Nao Kawaguchi, Takeshi Hagihara, Harumi Yamada, Ryo Kamimura, Michio Kuwahara, Masato Ichimiya, Hirofumi Utsunomiya, Shiro Uyama, Hiroaki Kato
Satoshi Yokoyama, Akinori Sekioka, Kohei Ueno, Yasuhiro Higashide, Yuko Okishio, Nao Kawaguchi, Takeshi Hagihara, Harumi Yamada, Ryo Kamimura, Michio Kuwahara, Masato Ichimiya, Hirofumi Utsunomiya, Shiro Uyama, Hiroaki Kato, Department of Surgery, Japanese Red Cross Society, Wakayama Medical Center, Wakayama 640-8558, Japan
Author contributions: Yokoyama S designed the report; Yokoyama S, Sekioka A, Ueno K, Higaside Y, Okishio Y, Kawaguchi N, Hagihara T, Yamada H, Kamimura R, Kuwahara M, Ichimiya M, Utsunimiya H and Kato H were attending doctors for the patient; Yokoyama S, Sekioka S, Ueno K, Higashide Y and Uyama S performed the operation; Yokoyama S was responsible for this patient in the outpatient clinic; Uyama S organized the report; Yokoyama S wrote the manuscript.
Correspondence to: Satoshi Yokoyama, MD, Department of Surgery, Japanese Red Cross Society, Wakayama Medical Center, 4-20 Komatsubara-dori, Wakayama 640-8558, Japan. yokoyama.st@gmail.com
Telephone: +81-73-4224171 Fax: +81-73-4261168
Received: October 4, 2013
Revised: November 1, 2013
Accepted: November 28, 2013
Published online: March 14, 2014
Core Tip

Core tip: We present a case of afferent loop syndrome occurring after pancreaticoduodenectomy (PD) in a patient who had previously undergone total gastrectomy, and review the English-language literature concerning reconstruction procedures following PD in patients who had undergone total gastrectomy (TG). Review of the literature revealed the lack of any current consensus for a standard procedure for reconstruction following PD in patients who had previously undergone TG. This issue warrants further attention, particularly given the expected future increase in the number of PDs in patients with a history of gastric cancer.