[Pancreatogastrostomy in papillary cancer]

In the therapeutic treatment of ampullary cancer in 11 patients pancreatogastrostomy was substituted for pancreato-jejunal anastomosis. Pancreatogastrostomy is a simpler technique and is more reliable than sutures with the small intestine. In the postoperative phase the anastomosis can be monitored at any time by radiological and endoscopic examination. However, examination of lipase in the gastric juice shows that even these anastomoses are closed in two patients as early as the second year after the operation. The frequent closure of anastomoses speaks in favour of the discontinuation of the exocrine function of the pancreas during the operation by means of occlusion jelly together with pancreatogastrostomy for the transitory protection of the resection surface of the pancreas.