Vertical stomach reconstruction with pancreaticogastrostomy after modified subtotal-stomach-preserving pancreaticoduodenectomy for preventing delayed gastric emptying.

Pylorus-preserving pancreaticoduodenectomy (PPPD) yields better results in terms of operative mortality and morbidity and postoperative nutritional state than those obtained after Whipple procedure. However, delayed gastric emptying (DGE) is one of the most troublesome complications of this procedure. We developed a new reconstructive technique-modified subtotal-stomach-preserving pancreaticoduodenectomy (SSPPD) with pancreaticogastrostomy--for preventing DGE. We consider our reconstructive technique to be one of the most favorable procedures for preventing DGE in patients who have undergone pancreaticoduodenectomy with pancreaticogastrostomy.