Pancreatoduodenectomy after Roux-en-Y gastric bypass surgery: Single-center experience and literature review.

Reconstruction after PD in post-RYGB patients may be challenging. Resection of the gastric remnant and use of the pre-existing biliopancreatic limb may be a safe strategy, but surgeons should be prepared for other reconstruction options for creation of a new pancreatobiliary limb.