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Updated: May 29, 2026

Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
A modified pancreaticojejunostomy: kissing pancreaticojejunostomy
Xiang-Dong Cheng1, Yi-An Du, Zhi-Yuan Xu
1Department of Abdominal Surgical Oncology, Zhejiang Cancer Hospital, Hangzhou, China. abdsurg@hotmail.com
Abstract:
Pancreaticoduodenectomy (Whipple procedure) has been the standard treatment for periampullary and pancreatic carcinoma. A leakage or fistula from the pancreatic anastomosis is the leading cause of morbidity and mortality after pancreaticoduodenectomy. In order to prevent the development of pancreatic fistula, we designed a modified pancreaticojejunostomy called Kissing Pancreaticojejunostomy, by which the pancreatic tube was tightly in touch with (kissing) the jejunal mucosa via a tent tube. We have performed this procedure on 71 consecutive patients and only one patient developed pancreatic fistula. It is a safe, simple and efficient technique.
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