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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
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Related Experiment Video

Updated: Dec 26, 2025

Technical Detail for Robot Assisted Pancreaticoduodenectomy
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Binding Pancreaticojejunostomy: Is It Safe?

Sanjay Gupta1, Ashok K Attri1, Rajeev Sharma1

  • 1Department of Surgery, Government Medical College and Hospital, Chandigarh, India.

Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society
|March 14, 2020
PubMed
Summary
This summary is machine-generated.

Peng's binding pancreaticojejunostomy (BPJ) is a safe technique for pancreaticoduodenectomy, showing a low incidence of postoperative pancreatic fistula (POPF). This study presents favorable outcomes with BPJ for managing pancreatic leaks.

Keywords:
Pancreatic fistulapancreaticoduodenectomypancreaticojejunostomy

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Area of Science:

  • Gastroenterology and Surgical Oncology
  • Hepatobiliary and Pancreatic Surgery

Background:

  • Postoperative pancreatic fistula (POPF) is a common complication after pancreaticoduodenectomy (PD), occurring in 5%-30% of cases.
  • Current techniques to reduce POPF lack a definitive "gold standard" method.
  • Peng's binding pancreaticojejunostomy (BPJ) has been proposed as a technique to lower POPF rates.

Purpose of the Study:

  • To evaluate the safety and efficacy of Peng's binding pancreaticojejunostomy (BPJ) in reducing postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD).

Main Methods:

  • Retrospective analysis of 24 patients who underwent PD with BPJ between January 2016 and March 2018.
  • Data collected included demographics, clinical features, procedure type, complications (specifically POPF), hospital stay, morbidity, and mortality.

Main Results:

  • The study included 24 patients (18 males, 6 females) with a mean age of 65.5 years.
  • Ampullary carcinoma was the most frequent diagnosis (62.5%).
  • The incidence of POPF was low at 8.33% (2 patients), with delayed gastric emptying being the most common complication (10 patients). One mortality was recorded.

Conclusions:

  • Peng's binding pancreaticojejunostomy (BPJ) is a safe surgical technique.
  • BPJ is associated with a low incidence of postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD).