[Pancreaticogastric anastomosis after pancreatic resection. About 40 cases]

The risk of pancreaticojejunal anastomosis fistulization represents the main factor of mortality and morbidity after pancreatic resection. The pancreatogastrostomy represents a technical alternative that can be achieved easily. The purpose of our study is to report our experience of this technique and to analyse respectively 40 pancreactogastric anastomosis after 29 cephalic duodenopancreatectomies and 11 corporeocaudal pancreatectomies. The operative sequelae have been characterized by 5 cases (12.5%) of digestive hemorrhages, 3 cases (7.5%) of pancreatic fistula, 3 cases (7.5%) of intra-abdominal bleeding and a lymphorrhagia (2.5%). The operative mortality rate was about 5% (2 cases). These results are similar to the results reported in the literature by the users of this technique.