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Evaluation of a New Modification of Pancreaticogastrostomy after Pancreaticoduodenectomy: Anastomosis of the Pancreatic Duct to the Gastric Mucosa with Invagination of the Pancreatic Remnant End into the Posterior Gastric Wall for Patients with Cancer Head of Pancreas and Periampullary Carcinoma in terms of Postoperative Pancreatic Fistula Formation
Joint Authors
Mazloum Osman, Mohamed
Abd El Maksoud, Walid
Source
International Journal of Surgical Oncology
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-09-15
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background/Objectives.
Postoperative pancreatic fistula (POPF) remains the main problem after pancreaticoduodenectomy and determines to a large extent the final outcome.
We describe a new modification of pancreaticogastrostomy which combines duct to mucosa anastomosis with suturing the pancreatic capsule to posterior gastric wall and then invaginating the pancreatic remnant into the posterior gastric wall.
This study was designed to assess the results of this new modification of pancreaticogastrostomy.
Methods.
The newly modified pancreaticogastrostomy was applied to 37 consecutive patients after pancreaticoduodenectomy for periampullary cancer (64.86%) or cancer head of the pancreas (35.14%).
Eighteen patients (48.65%) had a soft pancreatic remnant, 13 patients (35.14%) had firm pancreatic remnant, and 6 patients (16.22%) had intermediate texture of pancreatic remnant.
Rate of mortality, early postoperative complications, and hospital stay were also reported.
Results.
Operative mortality was zero and morbidity was 29.73%.
Only three patients (8.11%) developed pancreatic leaks; they were treated conservatively.
Eight patients (16.1%) had delayed gastric emptying, one patient (2.70%) had minor hemorrhage, one patient (2.70%) had biliary leak, and four patients (10.81%) had superficial wound infection.
Conclusions.
The new modified pancreatogastrostomy seems safe and reliable with low rate of POPF.
However, further prospective controlled trials are essential to support these results.
American Psychological Association (APA)
Mazloum Osman, Mohamed& Abd El Maksoud, Walid. 2014. Evaluation of a New Modification of Pancreaticogastrostomy after Pancreaticoduodenectomy: Anastomosis of the Pancreatic Duct to the Gastric Mucosa with Invagination of the Pancreatic Remnant End into the Posterior Gastric Wall for Patients with Cancer Head of Pancreas and Periampullary Carcinoma in terms of Postoperative Pancreatic Fistula Formation. International Journal of Surgical Oncology،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1037677
Modern Language Association (MLA)
Mazloum Osman, Mohamed& Abd El Maksoud, Walid. Evaluation of a New Modification of Pancreaticogastrostomy after Pancreaticoduodenectomy: Anastomosis of the Pancreatic Duct to the Gastric Mucosa with Invagination of the Pancreatic Remnant End into the Posterior Gastric Wall for Patients with Cancer Head of Pancreas and Periampullary Carcinoma in terms of Postoperative Pancreatic Fistula Formation. International Journal of Surgical Oncology No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1037677
American Medical Association (AMA)
Mazloum Osman, Mohamed& Abd El Maksoud, Walid. Evaluation of a New Modification of Pancreaticogastrostomy after Pancreaticoduodenectomy: Anastomosis of the Pancreatic Duct to the Gastric Mucosa with Invagination of the Pancreatic Remnant End into the Posterior Gastric Wall for Patients with Cancer Head of Pancreas and Periampullary Carcinoma in terms of Postoperative Pancreatic Fistula Formation. International Journal of Surgical Oncology. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1037677
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1037677