Does Pancreaticogastrostomy Reduce the Risk of Postoperative Pancreatic Fistula After Pancreatoduodenectomy?

JAMA Surg

Hepatopancreaticobiliary/Upper Gastrointestinal Unit, Department of General Surgery, Auckland City Hospital, Auckland, New Zealand.

Published: April 2020

Download full-text PDF

Source
http://dx.doi.org/10.1001/jamasurg.2019.6036DOI Listing

Publication Analysis

Top Keywords

pancreaticogastrostomy reduce
4
reduce risk
4
risk postoperative
4
postoperative pancreatic
4
pancreatic fistula
4
fistula pancreatoduodenectomy?
4
pancreaticogastrostomy
1
risk
1
postoperative
1
pancreatic
1

Similar Publications

Postoperative pancreatic fistula (POPF) remains a major and serious problem after pancreaticoduodenectomy (PD). In its presence, pancreatic juice may leak from the main duct or branches of the pancreatic stump. To prevent this, we have applied a newly modified anastomosis of pancreaticogastrostomy (PG) using a linear stapler (stapled PG).

View Article and Find Full Text PDF

Anastomotic bleeding from invaginated pancreaticogastrostomy following pancreatoduodenectomy: incidence, risk factors, treatment and prevention.

Langenbecks Arch Surg

July 2024

Hepato-Pancreato-Biliary Surgery and Liver transplantation, Pôle des Pathologies Digestives et Hépatiques, Hôpital de Hautepierre-Hôpitaux Universitaires de Strasbourg, Université de Strasbourg, Strasbourg, France.

Background: Meta-analysis of 10 randomized prospective trials demonstrated a higher risk of postoperative bleeding from pancreaticogastrostomy (PG) compared with pancreatojejunostomy following pancreatoduodenectomy (PD). This study evaluated the incidence, risk factors, and treatment of anastomotic bleeding from invaginated PG.

Methods: We retrospectively evaluated all consecutive PDs performed between April 1, 2011 and December 31, 2022 using invaginated PG by the double purse-string technique.

View Article and Find Full Text PDF

Background: Postpancreatectomy hemorrhage (PPH) is a leading cause for surgical mortality after pancreatic surgery. Several strategies for the prevention and management of PPH have been studied in randomized controlled trials (RCTs) but a systematic review is lacking. The authors systematically reviewed RCTs regarding the impact of treatment strategies on the incidence and outcome of PPH.

View Article and Find Full Text PDF

Surgical techniques to prevent delayed gastric emptying after pancreaticoduodenectomy.

Hepatobiliary Pancreat Dis Int

October 2024

Department of Hepatobiliary and Pancreatic Surgery, General Surgery Center, the First Hospital of Jilin University, Changchun 130021, China. Electronic address:

Background: Delayed gastric emptying (DGE) is one of the most common complications after pancreaticoduodenectomy (PD). DGE represents impaired gastric motility without significant mechanical obstruction and is associated with an increased length of hospital stay, increased healthcare costs, and a high readmission rate. We reviewed published studies on various technical modifications to reduce the incidence of DGE.

View Article and Find Full Text PDF

Risk factors for exocrine pancreatic insufficiency after pancreatic surgery: a systematic review and meta-analysis.

Can J Surg

November 2022

From the Division of Digestive Surgery, Department of Surgery, Dr. Soetomo General Hospital, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia (Budipramana); and the Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia (A. Witarto, B. Witarto, Pramudito, Ratri, Wairooy, Putra).

Background: Patients should be informed beforehand of the risk factors for exocrine pancreatic insufficiency (ExoPI) after pancreatic surgery; however, there are no clear identified risk factors for this condition. This study aimed to identify the preoperative, perioperative and postoperative risk factors for ExoPI after pancreatic surgery.

Methods: We conducted a systematic search of PubMed, Scopus, SAGE, CINAHL Plus and Taylor & Francis from inception to Mar.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!