Background: Pancreatico-jejunostomy strictures (PJS) after pancreatiocoduodenectomy (PD) are poorly understood.
Methods: Patients treated for PJS were identified from all PDs (n = 357) performed for all indications in our practice (2002 to 2009). Technical aspects of the original operation, as well as the presentation, management and outcomes of the resultant stricture were assessed.
Results: Seven patients developed a symptomatic PJS for an incidence of 2%. 'Soft' glands and small ducts (
Conclusion: A symptomatic PJS appears to be independent of original pathological, glandular or technical features but pancreatic fistulae may contribute. Secretin MRCP is diagnostically useful, whereas ERCP has been proven to be therapeutically ineffective. Durable resolution of symptoms after surgical revision is unpredictable.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3030757 | PMC |
| http://dx.doi.org/10.1111/j.1477-2574.2010.00214.x | DOI Listing |
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