Impact of Deserosalization on Small Bowel Anastomosis Healing in Swine: A Pilot Study.

Background: Healing is related to gastrointestinal anastomotic leak, which is a severe and common complication. This study aimed to investigate the feasibility and the impact of deserosalization on healing of jejuno-jejunal anastomoses in an animal model.

Materials And Methods: Seven swine underwent three types of side-to-side jejuno-jejunal anastomosis twice and survived seven days.

A new pancreaticojejunostomy technique: a battle against postoperative pancreatic fistula.

Aim: To present a new technique of end-to-side, duct-to-mucosa pancreaticojejunostomy with seromuscular jejunal flap formation, and insertion of a silicone stent.

Methods: We present an end-to-side, duct-to-mucosa pancreaticojejunostomy with seromuscular jejunal flap formation, and the insertion of a silicone stent. This technique was performed in thirty-two consecutive patients who underwent a pancreaticoduodenectomy procedure by the same surgical team, from January 2005 to March 2011.