%0 Journal Article
%T Laparoscopic Finney pyloroplasty in the emergency setting: first case report in the literature and technical challenges
%A Christopher Hadjittofi
%A Elisabetta Moggia
%A Panagiotis G. Athanasopoulos
%A Stefano Berti
%J Archive of "Annals of Translational Medicine".
%D 2016
%R 10.21037/atm.2016.04.09
%X Pyloroplasty is currently reserved for emergencies (perforation, bleeding), but may occasionally be performed to treat benign gastric outlet obstruction (GOO). Historically, two techniques are available: the Mikulicz pyloroplasty, by which the pylorus is incised longitudinally and sutured vertically, and the Finney pyloroplasty, by which a U-shaped inverted incision is made in the second part of duodenum (D1¨CD2), followed by a side-to-side gastroduodenostomy. We report our experience in this single case of laparoscopic Finney pyloroplasty (LFP) performed in the emergency setting for a woman with a perforated duodenal ulcer and severe loss of tissue in D1¨CD2. Due to the presence of severely inflamed perforation edges and the risk of duodenal narrowing with subsequent GOO, Finney technique was favored over direct ulcer repair. The patient achieved a full postoperative recovery free of complications, with a dynamic oral contrast study demonstrating good gastric evacuation. Review of the current literature revealed no similar cases, as LFP has only been performed in the canine model. Although LFP requires a specific surgical skill-set, we believe it can be effective and feasible in cases of duodenal perforation with significant loss of mural substance
%K Duodenum
%K ulcer
%K Finney
%K pyloroplasty
%K laparoscopy
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885888/