Postoperative Duodenal Obstruction: Etiology, Pathogenesis, Clinical Features and Problem Resolving

Abstract

As we all well known, the pancreatic cystic neoplasm is very common in clinical practice, which sometimes is recognised as an indication of limited local surgery due to its convenience and safety as well [1,2]. Generally, if the size in diameter of pancreatic cystic neoplasm less than 3.0 cm, major of them should be recognized as benign and supervenience for them is accessible. As a matter of fact, the neoplasma carcinomalization judged only by size of cyst is not completely correct. Active surgery intervention may be more helpful. However, postoperative ischemia-origin duodenum obstruction was rarely reported except for Wan et al. reported last year [3]. Although the hospital mortality is less than 1% [4], ischemia duodenal obstruction after surgery is very interesting for some surgeons and to be worthy of discussing once again. Herein, authors would like to share their experience of limited case.