Efficacy of the omental roll-up technique in pancreaticojejunostomy as a strategy to prevent pancreatic fistula after pancreaticoduodenectomy

Archives of Surgery
Sae Byeol ChoiSang Yong Choi

Abstract

Most morbidity and mortality are caused by a pancreatic fistula after pancreaticoduodenectomy (PD), and its prevention is the major concern. We applied the omental roll-up technique around pancreaticojejunostomy and investigated the effectiveness of this technique to prevent a pancreatic fistula. Retrospective study. Tertiary hepatobiliary and pancreas surgery clinic, Korea University Guro Hospital, Seoul. Between March 1, 2009, and March 31, 2011, 68 patients underwent PD. The patients were divided into 2 groups according to the surgical application of the omental roll-up technique around the PJ site: group 1 (those who did not undergo the omental roll-up technique) compared with group 2 (those who did undergo the omental roll-up technique). The occurrence of a pancreatic fistula. No differences were noted in the clinical characteristics, including patients' demographics and operation-related factors, between the 2 groups. A pancreatic fistula occurred in 23 of 39 patients in group 1 (59%) and in 6 of 29 patients in group 2 (20.7%). Group 2 had a significantly lower incidence of pancreatic fistula (P = .002), and these fistulas were classified as being grade A using the International Study Group on Pancreatic Fistula Definitio...Continue Reading

Citations

Jul 21, 2014·Journal of the American College of Surgeons·Min WangRenyi Qin
Feb 10, 2016·Langenbeck's Archives of Surgery·Dezső KelemenAndrás Vereczkei
Dec 18, 2013·Magyar sebészet·Dezső KelemenAndrás Vereczkei
May 6, 2015·Indian Journal of Surgical Oncology·Prasanth PenumaduShailesh V Shrikhande
Jan 20, 2017·Journal of Hepato-biliary-pancreatic Sciences·Seiji OguroSeiji Kawasaki
Feb 28, 2015·ANZ Journal of Surgery·Jose M RamiaJorge Garcia-Parreño
Sep 14, 2016·Korean Journal of Hepato-biliary-pancreatic Surgery·Jong Oh LeeDongho Choi
Feb 17, 2015·World Journal of Gastroenterology : WJG·Hui YangYu-Xin Chen
Nov 13, 2020·Journal of Hepato-biliary-pancreatic Sciences·Akira KemmochiNobuhiro Ohkohchi
Jul 8, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Valentina AndreasiMassimo Falconi

❮ Previous
Next ❯

Related Concepts

Related Feeds

Atrophic Gastritis

Atrophic Gastritis is a process where gastric glandular cells are lost and replaced with firbous tissues, as a result of chronic inflammation. Learn more about Atrophic Gastritis here.

Cancer Imaging

Imaging techniques, including CT and MR, have become essential to tumor detection, diagnosis, and monitoring. Here is the latest research on cancer imaging.

Arrhythmia

Arrhythmias are abnormalities in heart rhythms, which can be either too fast or too slow. They can result from abnormalities of the initiation of an impulse or impulse conduction or a combination of both. Here is the latest research on arrhythmias.

Atrial Fibrillation

Atrial fibrillation is a common arrhythmia that is associated with substantial morbidity and mortality, particularly due to stroke and thromboembolism. Here is the latest research.

Atrial Filbrillation

Atrial fibrillation refers to the abnormal heart rhythm characterized by rapid and irregular beating of the atria. Here is the latest research.