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August 6, 2026BMC SurgeryOpen Access

The impact of Braun-modified single loop versus isolated Roux-en-y reconstruction on clinical outcomes following pancreaticoduodenectomy

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Authors

YDYıldıray DadükSÖSabri Özdaş

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Overview

Randomized trial compares clinical outcomes of two reconstruction techniques following pancreatic surgery, suggesting BMSL may be beneficial.

Key Points

  • This study aims to compare the clinical outcomes of Braun-modified single loop and isolated Roux-en-Y reconstruction techniques after pancreaticoduodenectomy, focusing on delayed gastric emptying and postoperative complications.
  • Retrospective analysis of 213 patients who underwent pancreaticoduodenectomy between 2018 and 2025.
  • Patients categorized into isolated Roux-en-Y (n=100) and BMSL (n=113) groups.
  • Univariate analysis and Firth’s penalized logistic regression used to assess risk factors and outcomes.
  • The incidence of clinically relevant postoperative pancreatic fistula (CR-POPF) was higher in the Roux-en-Y group (7%) compared to the BMSL group (1.7%); p=0.072.
  • The BMSL group showed significantly lower delayed gastric emptying (DGE) rates (statistically significant, p=0.032) and a shorter mean hospital stay (10.1 days vs 11.25 days; p<0.001).
  • Diabetes mellitus was found to be independently associated with DGE in the BMSL group (OR: 20.75, 95% CI: 5.86–73.44; p<0.000003).

Cite This Study

Dadük et al. (2026) studied this question.

synapsesocial.com/papers/6a74374b764cddc9499d4841https://doi.org/10.1186/s12893-026-04086-6
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Modified reconstruction approach after pancreaticoduodenectomy optimizes postoperative outcomes: Results from a multivariate cohort analysis2024
  2. 2Clinical Impact of Portal Vein Distance on Computed Tomography for Postoperative Pancreatic Fistula after Pancreatoduodenectomy2021 · 10 citations
  3. 3Roux-en-Y Versus Single Loop Reconstruction in Pancreaticoduodenectomy: A Systematic Review and Meta-Analysis2021 · 10 citations
  4. 4Severity of Pancreatic Leak in Relation to Gut Restoration After Pancreaticoduodenectomy2022 · 2 citations
  5. 5Risk factors for delayed gastric emptying after pancreatoduodenectomy: a 10-year retrospective study2025 · 9 citations