ArticleOrtiz VN, Haase GM, Sotos JF, Clatworthy HW.
J Pediatr Surg. 1978 Dec;13(6D):722-3.
Total pancreatectomy is often required to control hypoglycemic seizures in infants with nesidioblastosis. If duodenal devascularization results, reconstruction is difficult because standard biliary-intestinal anastomoses may reflux, or, in infants, become strictured. Therefore, surgeons are loath to perform such procedures. To avoid these complications, the common bile duct and the ampulla of Vater were implanted into the reconstructed duodenum.