BACKGROUND Clinically relevant postoperative pancreatic fistula (grades B and C of the ISGPS definition) remains the most troublesome complication after pancreatoduodenectomy. The approach to management of the pancreatic remnant via some form of pancreatico-enteric anastomosis determines the incidence and severity of clinically relevant postoperative pancreatic fistula. Despite numerous trials ...

The interesting paper by Ikenaga et al about acute pancreatitis after pancreatic resections merits some patho-physiological observations. 1 N. Ohtsuka T. Nakata K. Watanabe Y. Mori Nakamura M. Clinical significance of postoperative pancreatoduodenectomy and distal pancreatectomy. Surgery. 2020; 169: 732-737 Abstract Full Text PDF PubMed Scopus (9) Google Scholar Besides pathogenic elements in c...