Reimplantation of the papilla of Vater

Abstract

Detachment of the papilla of Vater from the duodenum may happen (a) deliberately, during duodenal resection for tumour without concomitant resection of the pancreatic head, and (b) accidentally in the course of gastrectomy for duodenal ulcer, when attempts to exteriorize the ulcer are made. In this report two case histories are cited encompassing both of these circumstances, in which the ampulla was successfully reimplanted into a Roux loop.

Duodenectomy with jejunal advancement and reimplantation of the ampulla of Vater for recurrent right colon cancer: A case report

“…Williamson et al reported resection of the first and second portions of the duodenum along with a portion of the pancreatic head. The ampulla was anastomosed to a Roux loop [9]. Fleisch reported resection of the first and second portions of the duodenum with detachment of the ampulla.…”