[Pancreaticogastrostomy: when and how?]

Area of Science:

• Surgical oncology
• Gastrointestinal surgery
• Pancreatic surgery

Background:

• Pancreaticoduodenectomy requires reconstruction via pancreatic anastomosis.
• Pancreaticogastrostomy and pancreaticojejunostomy are established techniques.
• Pancreaticogastrostomy is less frequently performed but is a more recent method.

Purpose of the Study:

• To present the history, techniques, and indications of pancreaticogastrostomy.
• To compare pancreaticogastrostomy with pancreaticojejunostomy.

Main Methods:

• Literature review.
• Analysis of current evidence, including randomized controlled trials and meta-analyses.

Main Results:

• No significant differences in complication rates between pancreaticogastrostomy and pancreaticojejunostomy.
• Pancreatic function is comparable between the two techniques.
• Pancreaticogastrostomy is technically less demanding.

Conclusions:

• Pancreaticogastrostomy offers comparable safety to pancreaticojejunostomy.
• Minimally invasive and parenchyma-sparing approaches expand applications for pancreaticogastrostomy.
• Pancreaticogastrostomy is a viable alternative for pancreatic reconstruction.