PMID: 10914769Jul 29, 2000Paper

Use of pancreaticogastrostomy for pancreatic reconstruction after pancreaticoduodenectomy

Journal of Clinical Gastroenterology
M E Zenilman


After resection of the head of the pancreas, the distal remnant is typically telescoped into the jejunum. Recently, pancreaticogastrostomy has re-emerged as a useful alternative, as the anastomosis is easy and without tension. The results of pancreaticogastrostomy in 10 consecutive patients is reviewed, as is the literature of both the technique and the physiology of the procedure. In the current series, mean +/- SEM age was 65 +/- 2.3 years. Extended pancreaticoduodenectomy was performed in two patients, pylorus-preserving in eight. Mean tumor size was 3.9 +/- 1.1 cm (range, 1.5-7.5 cm), mean operative time was 6.5 +/- 0.5 hours. Intraoperatively, 7.6 +/- 0.8 L of fluid was given, only two patients were transfused. The mean length of stay was 9.4 +/- 1.8 days. There were no anastomotic leaks, no deaths, and two patients developed temporary gastric ileus. There are now 841 pancreaticogastrostomies reported in the literature, with a leak rate of 3.1% and a death rate of 2.6%. Pancreaticogastrostomy is easy to perform, safe, and useful even after extended Whipple.


May 1, 1975·Annals of Surgery·J A MackieC D Park
Jun 25, 1992·The New England Journal of Medicine·D S Zimmon, R Ferstenberg
Feb 13, 1992·The New England Journal of Medicine·A L Warshaw, C Fernández-del Castillo
Jan 1, 1991·American Journal of Surgery·J L CameronJ Coleman
Dec 1, 1990·The Australian and New Zealand Journal of Surgery·H Ramesh, P G Thomas
Nov 1, 1987·Cancer·B Gudjonsson
Mar 1, 1988·Annals of Surgery·P Icard, F Dubois
May 1, 1987·The Journal of Surgical Research·M Tanaka, M G Sarr
Jan 1, 1986·American Journal of Surgery·P A GraceW P Longmire
Jan 1, 1967·American Journal of Surgery·C D ParkJ E Rhoads
Feb 1, 1995·Annals of Surgery·K D Lillemoe
Feb 1, 1995·American Journal of Surgery·G R Mason, R J Freeark
Mar 1, 1993·American Journal of Surgery·S TakaoT Aikou
Feb 1, 1993·The Journal of Surgical Research·D M Morris, R S Ford
Feb 15, 1996·The Journal of Surgical Research·H ShinchiT Aikou
Jun 24, 1998·Annals of Surgery·C J YeoH A Pitt
Jun 12, 1999·The European Journal of Surgery = Acta Chirurgica·J P ArnaudR Bergamaschi
Aug 5, 1999·The European Journal of Surgery = Acta Chirurgica·J M FabreJ Domergue
Jan 1, 1954·The British Journal of Surgery·E M NANSON
Mar 22, 1952·Lancet·C WELLSN GIBBON
Mar 22, 1952·Lancet·A S DILL-RUSSELL
May 3, 1952·The Medical Journal of Australia
Oct 1, 1935·Annals of Surgery·A O WhippleC R Mullins

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