Even in centers where the first choice in the surgical treatment of chronic pancreatitis is a derivative procedure some selected patients require resection. The most popular solution of gastrointestinal reconstruction still seems to be pancreaticojejunostomy but, the review of the reported experiences, suggests a general trend towards anastomosis with the stomach as a recent policy. A reliable ...

OBJECTIVES This study aimed to compare pancreaticojejunostomy (PJ) with pancreaticogastrostomy (PG) after pancreaticoduodenectomy (PD). METHODS A literature search of PubMed and the Cochrane Central Register of Controlled Trials for studies comparing PJ with PG after PD was conducted. The primary outcome for meta-analysis was pancreatic fistula. Secondary outcomes were morbidity, mortality, b...

sheared guidewire following failed endoscopic ultrasound-guided pancreatic duct drainage A 50-year-old man with a retained sheared guidewire in the main pancreatic duct and pancreatic parenchyma was referred for recurrent pancreatitis. He had previously undergone a pancreaticoduodenectomy for pancreatic hemangioma and was experiencing recurrent pancreatitis due to pancreaticojejunostomy strictu...