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Pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy for carcinoma of the head of the pancreas : randomized study
Other Title(s)
المفاغرة البنكرياسية المعدية مقابل المفاغرة البنكرياسية المعوية في علاج حالات سرطان رأس البنكرياس : دراسة عشوائية
Joint Authors
Sulayman, Ahmad Muhammad
al-Usayli, Muhammad Abd al-Munim
Ali, Hani Abd al-Karim
al-Khatib, Abd al-Munim Ismail
Source
Issue
Vol. 35, Issue 2 (31 May. 2011), pp.137-142, 6 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2011-05-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
Background: Pancreaticoduodenectomy is the primary means of treating cancer head of the pancreas.
Associated mortality rates have dropped dramatically in the past decade, hut morbidity rates remain high.
Methods: Patients were divided randomly into two groups:-l-The first group includes 49 patients have undergone pancreaticogastrostomy.
2-The second group includes 55 patients have undergone pancreaticojejunoslomy.
The patients were followed for the presence of complications especially pancreatic leak.
Results: The study included 104 patients divided randomizly into two groups the first group included 49 patients who had undergone Pancreaticogastrostomy and the other group includes 55 patients who had undergone Pancreaticojejunostomy.
70% were males, 30% were females, age 74 + 13 years.
Comparing the complication observed after the two procedures, Multiple complications occurred in 30,6 % in patients who undergone pancreaticogastrostomy and 38.18% in patients who undergone pancreaticojejunostomy.
With no statistically significant difference between the 2 procedures .No reported mortality in the two groups had been observed.The most common complication observed in the pancreaticogastrostomy group was pancreatic fistula (14.28%) followed by intra-abdominal fluid (8.16%), biliary fistula, bleeding, reoperation (4.08%)) each.
For the pancreaticojejuunostomy group the most common complication observed were pancreatic fistula (20 %) followed by intra-abdominal fluid and reoperation (9.09%) each, biliary fistula (5.45%)), no bleeding reported.
Conclusion: pancreaticogastrostomy is associated with a lower frequency of multiple surgical complications which is not statistically significant and higher incidence of pancreatic fistula in the pancreaticojejunostomy arm.
Key words: pancreas, anastomosis, fistula.
American Psychological Association (APA)
al-Usayli, Muhammad Abd al-Munim& al-Khatib, Abd al-Munim Ismail& Ali, Hani Abd al-Karim& Sulayman, Ahmad Muhammad. 2011. Pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy for carcinoma of the head of the pancreas : randomized study. Assiut Medical Journal،Vol. 35, no. 2, pp.137-142.
https://search.emarefa.net/detail/BIM-274313
Modern Language Association (MLA)
al-Usayli, Muhammad Abd al-Munim…[et al.]. Pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy for carcinoma of the head of the pancreas : randomized study. Assiut Medical Journal Vol. 35, no. 2 (May. 2011), pp.137-142.
https://search.emarefa.net/detail/BIM-274313
American Medical Association (AMA)
al-Usayli, Muhammad Abd al-Munim& al-Khatib, Abd al-Munim Ismail& Ali, Hani Abd al-Karim& Sulayman, Ahmad Muhammad. Pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy for carcinoma of the head of the pancreas : randomized study. Assiut Medical Journal. 2011. Vol. 35, no. 2, pp.137-142.
https://search.emarefa.net/detail/BIM-274313
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 141-142
Record ID
BIM-274313