Pancreaticogastrostomy: clinical experience with a direct pancreatic-duct-to-gastric-mucosa anastomosis. Am J Surg 1984 Jun;147(6):832-7
Date
06/01/1984Pubmed ID
6731703DOI
10.1016/0002-9610(84)90214-9Scopus ID
2-s2.0-0021253859 (requires institutional sign-in at Scopus site) 57 CitationsAbstract
The propensity for leakage and disruption at the site of the pancreaticojejunostomy is a major reason for morbidity and death after pancreaticoduodenal resection. Because it is less prone to leakage and disruption, pancreaticogastrostomy has been reintroduced as a possible alternative to pancreaticojejunostomy. Of four patients in whom the pancreas was simply implanted into the stomach and five patients in whom a direct pancreatic-duct-to-gastric-mucosa anastomosis was constructed, there was no morbidity or death related to the pancreatic anastomosis. Because of evidence that a direct pancreatic-duct-to-gastric-mucosa anastomosis has an increased incidence of patency and because it was successful in a clinical setting, it is recommended.
Author List
Telford GL, Mason GRMESH terms used to index this publication - Major topics in bold
AgedFemale
Gastric Mucosa
Gastrostomy
Humans
Male
Methods
Middle Aged
Pancreas
Pancreatic Ducts
Pancreatic Neoplasms
Postoperative Complications
