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Updated: May 25, 2026

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
Published on: September 28, 2019
Duodenal necrosis secondary to a closed-loop bowel obstruction with novel reconstruction
Massimo Arcerito1, Daniel R Margulies, Philip K Frykman
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Abstract:
Duodenal necrosis is rare in children and presents a significant surgical challenge. We describe a 12-year-old girl who presented with duodenal necrosis secondary to a closed-loop bowel obstruction. We describe the diagnostic images, operative findings, and a novel reconstruction technique. This case highlights an alternative strategy for reestablishing gastrointestinal and biliopancreatic continuity while avoiding more complex procedures.
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