BACKGROUND We hypothesized that neutralization of the gastric acidity by alkaline pancreatic secretion via a non-stented pancreaticogastrostomy after pylorus-preserving pancreaticoduodenectomy (non-stented PPPD-PG) might provide protection against marginal or stress ulcer. Surgical risk of non-stented pancreaticogastrostomy was also assessed to clarify the importance of stenting in pancreatic a...

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 ...

creaticogastrostomy anastomosis some− times occurs after surgical pancreatic re− section and pancreaticogastrostomy, re− sulting in abdominal pain and aggrava− tion of diabetes as a result of ductal hypertension [1]. Endoscopic ultrasound− (EUS−)guided pancreaticogastrostomy has been reported as a method for reduc− ing ductal hypertension in patients with chronic pancreatitis. We report a patie...

CONTEXT Traumatic pancreaticoduodenal injury still remains challenging with high morbidity and mortality. Optimal management by performing simple and fast damage control surgery ensures better outcomes. CASE REPORT A 36-year-old man was admitted with a combined pancreaticoduodenal injury after being assaulted. More than 80% of duodenal circumference (first portion) was disrupted and the neck ...

Postoperative pancreatic fistula remains a persistent problem after pancreatic surgery. Many technical modifications have been suggested for pancreaticoenteric anastomosis to reduce pancreatic leakage rate. Here, we present two cases of pancreaticogastrostomy in our center with the novel technique: two continuous hemstitch sutures. The 9 month old young boy who was the youngest child we’ve perf...

The patient was a 58-year-old man with a long-standing history of alcohol abuse and chronic pancreatitis leading to multiple hospitalizations. He continued to have pain despite conservative management, pain control, and alcohol cessation. His chronic pancreatitis and pancreatic duct (PD) stones resulted in a tight PD stricture at the head of the pancreas. Multiple prior attempts at conventional...