Single-loop versus double-loop reconstruction after pancreatoduodenectomy: Does it impact on the risk of postoperative pancreatic fistula?

Giovanni Domenico Tebala; Fanny Massimi; Francesca Duro; Ahmed Abdelsamad; Stefano Avenia; Gian Luca Baiocchi; Andrea Barberis; C Bouzid; Antoine Castel; G. Ceccarelli; Andrea Celotti; Nicola Cillara; Nicola Cinardi; Roberto Cirocchi; Maria Conticchio; G Currò; A. Delvecchio; Raffaele Vincenzo De Rosa; Jacopo Desiderio; Antonio Di Cintio; Fabio Francesco Di Mola; Domenico Di Nardò; Alessia Fassari; Alessandro Gemini; Carlos Augusto Gomes; Gian Luca Grazi; Giuseppe Margani; Alessandro Mazzotta; Luca Morelli; Andrea Giuseppe Muratore; Fabrice Muscari; Edoardo Maria Muttillo; Alberto Patriti; Gaetano Piccolo; Luca Properzi; Alessandro Puzziello; Lucia Romano; Edoardo Rosso; Sara Saeidi; Andrea Sagnotta; Edoardo Saladino; Marcello Giuseppe Spampinato; L Sulpice; Nádia Tenreiro; Paolo Ubiali; Riccardo Memeo; DoS-RAP Collaborative

doi:10.14701/ahbps.26-007

March 18, 2026Annals of Hepato-Biliary-Pancreatic SurgeryOpen Access

Single-loop versus double-loop reconstruction after pancreatoduodenectomy: Does it impact on the risk of postoperative pancreatic fistula?

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Key Points

This research aims to evaluate the impact of single-loop (SL) versus double-loop (DL) reconstruction on postoperative complications following pancreatoduodenectomy.
Compared the incidence of postoperative pancreatic fistula (POPF) between SL and DL reconstruction methods.
Assessed the rates of delayed gastric emptying (DGE) associated with each reconstruction type.
Analyzed surgical outcomes in patients undergoing open pancreatoduodenectomy.
No significant difference in the incidence of POPF between SL and DL reconstruction.
DL reconstruction resulted in a lower incidence of DGE compared to SL reconstruction.

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Implication

Study compares single-loop and double-loop reconstruction effects on postoperative outcomes, indicating double-loop may be better for reducing complications.

Abstract

Our study found no significant differences in the risk of POPF between SL and DL reconstruction. However, DL reconstruction is associated with a reduced risk of DGE, suggesting it may be a preferable option following open PD.

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Cite This Study

Tebala et al. (2026) studied this question.

synapsesocial.com/papers/69be35166e48c4981c673346 https://doi.org/10.14701/ahbps.26-007

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Single-loop versus double-loop reconstruction after pancreatoduodenectomy: Does it impact on the risk of postoperative pancreatic fistula?

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Single-loop versus double-loop reconstruction after pancreatoduodenectomy: Does it impact on the risk of postoperative pancreatic fistula?

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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