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Table 1 Overview of all relevant clinicopathological characteristics in the 26 cases reviewed of post-RYGB patients who underwent pancreaticoduodenectomy

From: Reconstruction options following pancreaticoduodenectomy after Roux-en-Y gastric bypass: a systematic review

Author

Year

Sex

Age

Diagnosis

Imaging/diagnostic modalities

Years from RYGB

RYGB type

Presenting complaint(s)

Resection specimen

Gastric remnant

Biliary drainage

Pancreatic drainage

Gastric remnant drainage

Feeding access

OR time (min)

EBL (cc)

N staging

Margins

Complications

Oncological Outcome

Follow-up (moths)

Helmick

2010

M

71

IPMN

CT

4

NR

Pain

SPDS

Spared

BL

BL

BL

GT

NR

NR

NR

NR

Bile leak

NED

NR

 

2010

F

58

CP

CT

5

NR

Pain, jaundice

SPDS

Spared

BL

BL

BL

GT

NR

NR

NR

N/A

NR

N/A

NR

Swain

2010

F

50

PDAC

CT

1.75

Open

Jaundice, weight loss

SPDS, GR

Resected

BL

BL

N/A

NR

NR

NR

NR

NR

NR

NED

12

  

F

55

NET

CT

2

Lap

Incidental finding

SPDS, GR

Resected

BL

BL

N/A

NR

NR

NR

NR

NR

Pancreatic leak

NED

12

  

F

61

PDAC

CT

25

Open loop

Incidental finding

SPDS, GR

Resected

BL

BL

N/A

NR

NR

NR

NR

NR

NR

NED

36

  

F

56

Ampullary Ca

CT

0.75

Lap

Fever/chills, jaundice

SPDS, GR, BL

Resected

AL

AL

N/A

NR

NR

NR

NR

NR

NR

NED

84

  

M

51

NET

CT, Perc

10

Open

Pain

PPPDS, BL

Spared

CC

CC

CC

NR

NR

NR

NR

NR

ECF

NED

NR

Cruz-Muñoz

2011

M

61

NET

CT

0.18

Lap

Incidental finding

SPDS, GR

Resected

BL

BL

N/A

NR

410

250

0

Neg

Pancreatic leak

NED

NR

Khithani

2009

F

60

PDAC

CT

NR

NR

Jaundice, pain

SPDS, GR

Resected

BL

BL

N/A

JT

NR

NR

NR

NR

NR

NED

NR

 

2009

F

57

PDAC

CT

NR

NR

Incidental finding

SPDS, GR

Resected

BL

BL

N/A

JT

NR

NR

NR

NR

NR

NED

NR

Rutkoski

2008

F

49

PDAC

CT, US, MRCP

5

Lap

Pain, nausea/vomiting, jaundice

SPDS

Spared

CC

CC

BL

NR

NR

NR

1

Neg

NR

DOD

9

Theodoropoulos

2012

F

53

PDAC

CT

14

Open

Pain

SPDS, BL

Spared

CC distal to J-J

CC distal to J-J

CC distal to J-J

NR

NR

NR

1

Neg

NR

NED

NR

Nikfarjam

2009

F

46

FDBDF

CT, PTC

3

Lap

Jaundice

SPDS, GR

Resected

BL

BL

N/A

NR

480

100

N/A

N/A

NR

N/A

12

 

2009

F

72

FDBDF

CT, PTC

5

Open

Jaundice, weight loss

SPDS, GR

Resected

BL

BL

N/A

NR

300

950

N/A

N/A

NR

N/A

12

Peng

2018

  

PDAC

CT, Perc

 

Open

 

SPDS

Spared

AL

AL

CC

NR

  

NR

Pos

NR

DOD

81

    

PDAC

CT

 

Open

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

NR

Pos

NR

DOD

50

    

IPMN

CT, PTC

 

Lap

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

NR

Neg

NR

DOD

18

    

PDAC

CT

 

NR

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

NR

Pos

NR

DOD

37

    

PDAC

CT, PTC

 

Open

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

NR

Pos

NR

AWD

53

    

CP

CT, PTC

 

Open

 

SPDS, GR, GJ

Resected

BL

BL

N/A

NR

  

N/A

N/A

NR

N/A

NR

    

Duodenal Ca

CT, PTC, Endo

 

Open

 

SPDS

Spared

BL

BL

BL

NR

  

NR

Neg

NR

AWD

57

    

PDAC

CT, Perc

 

Lap

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

NR

Neg

NR

AWD

34

    

CP

CT, PTC, Endo

 

Open

 

SPDS, GR

Resected

BL

BL

N/A

NR

  

N/A

N/A

NR

N/A

NR

    

PDAC

CT, PTC

 

Open

 

SPDS, GR, Spleen

Resected

BL

BL

N/A

NR

  

NR

Neg

NR

DOD

16

    

PDAC

CT, PTC

 

Lap

 

Pancreas, GR

Resected

BL

BL

N/A

NR

  

NR

Neg

NR

DOD

27

 

Mean

 

64

  

10

        

361

500

     

Current report

2015

F

63

PDAC

CT

12

Open

Pain, nausea/vomiting

SPDS, BL

Spared

CC

CC

CC

GT

765

400

2

Neg

Pancreatic fistula

DOD

23

  1. NR not reported, N/A not applicable, RYGB Roux-en-Y Gastric Bypass, PDAC pancreatic ductal adenocarcinoma, NET neuroendocrine tumor, FDBDF focal distal bile duct fibrosis, CP chronic pancreatitis, CT computed tomography, US ultrasound, MRCP magnetic resonance cholangiopancreatography, PTC percutaneous transhepatic cholangiography, Perc percutaneous biopsy, Endo endoscopic biopsy, Lap laparoscopic, NR not reported, SPDS standard pancreaticoduodenectomy specimen (pancreatic head, duodenum, antrum, common bile duct, and gallbladder, if present), PPPDS pylorus-preserving pancreaticoduodenectomy specimen (pancreatic head, distal duodenum, common bile duct), GR gastric remnant, BL biliopancreatic limb, CC common channel, AL alimentary limb, jej-jej jejunojejunostomy, JT feeding jejunostomy tube placed, GT feeding gastrostomy tube, ECF enterocutaneous fistula, NED no evidence of disease, DOD dead of disease, AWD alive with disease