Pancreaticogastrostomy Following Pancreatoduodenectomy

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Pancreaticogastrostomy After Pancreatoduodenectomy

The aim of this study was to evaluate the place of pancreaticogastrostomy (PG) in reducing pancreatic fistula after pancreatoduodenectomy. From January 1988 to June 1991, 32 consecutive patients (mean age, 57 years) were operated on, 25 for malignant disease (78%). The pancreatic remnant was normal in 17 patients (53%) and sclerotic in the others. There was one operative death (3.1%) unrelated ...

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Haemorrhage following pancreatoduodenectomy: the importance of surgery.

Koukoutsis et al. [4] subsequently analyzed risk factors in predicting post-operative haemorrhage, particularly secondary haemorrhage, yet they do not provide the raw data to allow an in-depth analysis of these factors, for example the number of patients who had a sentinel bleed but did not have a post-operative bleed, or the total number of patients in the series who had an anastomotic leak. T...

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pancreaticogastrostomy following pancreatico- duodenectomy for pancreatic head and periampullary cancer

Although we have been using PG lately, we intend not to discuss the superiority of one over the other in this article. Here we describe a technique using anterior gastrotomy and retraction of the cut end of the stomach to fashion PG following pylorus preserving pancreaticoduodenectomy (PPD) and the standard pancreaticoduodenectomy (PD) (Whipples’ operation) respectively. No report about the ant...

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Effect of Preoperative Biliary Drainage on Complications Following Pancreatoduodenectomy

Preoperative biliary drainage (PBD) prior to pancreatoduodenectomy (PD) is still controversial; therefore, the aim of this study was to examine the impact of PBD on complications following PD. A meta-analysis was carried out for all relevant randomized controlled trials (RCTs), prospective and retrospective studies published from inception to March 2015 that compared PBD and non-PBD (immediate ...

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Pseudoaneurysm of the gastroduodenal artery following pancreatoduodenectomy. Stenting for hemorrhage

Postpancreatectomy hemorrhage (PPH) and pancreatic fistula are main and serious complications following pancreaticoduodenectomy. Postpancreatectomy hemorrhage is considered life-threatening for its high rate of mortality. Postpancreatectomy hemorrhage is defined as early, occurring within 24 h after surgery, and late. The authors present a case of late PPH which developed in the third week foll...

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1988

ISSN: 0003-4932

DOI: 10.1097/00000658-198803000-00005