Pancreaticogastrostomy – An alternate for dealing with pancreatic remnant after pancreaticoduodenectomy – Experience from a tertiary care center of Pakistan

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Pancreaticogastrostomy - an alternate for dealing with pancreatic remnant after pancreaticoduodenectomy - experience from a tertiary care center of Pakistan.

Whipple's pancreaticoduodenectomy has been refined over the years to be a safe operation though the morbidity rate still remains high (30-50%). Pancreatic fistula is the most important cause of mortality following pancreaticoduodenectomy. To prevent it, surgeons have used two anastomotic techniques: pancreaticojejunostomy and pancreaticogastrostomy. Recent studies found that pancreaticogastrost...

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Pancreaticojejunostomy or Pancreaticogastrostomy to Prevent Pancreatic Fistula Formation after Pancreaticoduodenectomy

Objective: To compare the results of pancreaticogastrostomy (PJ) with pancreaticojejunostomy (PG) in preventing fistula formation after pancreaticoduonectomy (PD). Study design: Quasi-experimental study. Place and Duration of Study: The study was carried out in Military and Combined Military Hospital Rawalpindi from August 2008 to March 2015 Material and methods: Patients of both gender aged 45...

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Pancreaticoduodenectomy Procedure - A Tertiary Care Centre Experience

Background: Pancreaticoduodenectomy, also referred to as Whipple’s resection, refers to the en bloc surgical resection of the pancreatic head, uncinate process, duodenum, gall bladder, and common bile duct. Though generally done for oncologic indications, the procedure can be warranted in benign or pre-neoplastic conditions of the peri-ampullary region also. Pathologic assessment of surgical sp...

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Pancreatic carcinoma recurrence in the remnant pancreas after a pancreaticoduodenectomy.

CONTEXT We report a rare case of a repeated pancreatic resection in the remnant distal pancreas 18 months after a Whipple R0 procedure. CASE REPORT In September 2003, a 63-year-old man underwent a Whipple procedure with an extended lymphadenectomy, portal vein resection and direct reconstruction for pancreatic cancer. In September 2004, the tumor marker level increased and MR revealed a tumor...

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ژورنال

عنوان ژورنال: HPB

سال: 2018

ISSN: 1365-182X

DOI: 10.1016/j.hpb.2018.06.2101