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Related Experiment Videos

Current experience with pancreatogastrostomy

G R Mason1, R J Freeark

  • 1Department of Surgery, Loyola University Medical Center, Maywood, Illinois 60153.

American Journal of Surgery
|February 1, 1995
PubMed
Summary
This summary is machine-generated.

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Pancreatogastrostomy significantly reduces pancreatic fistula rates after pancreatoduodenectomy compared to pancreatojejunostomy. This study shows zero leaks with pancreatogastrostomy, supporting its adoption over the traditional method.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Abdominal Surgery

Background:

  • Pancreatoduodenectomy reconstruction frequently uses pancreatojejunostomy.
  • Pancreatojejunostomy has a high leakage rate (≥10%).
  • Pancreatogastrostomy is an alternative with a reported low leakage rate (<1%).

Purpose of the Study:

  • To evaluate and compare pancreatogastrostomy with standard pancreatojejunostomy.
  • To add to the existing experience with pancreatogastrostomy.
  • To assess reconstruction techniques in a major medical center.

Main Methods:

  • Retrospective review of medical records from August 1986 to May 1993.
  • Identification of patients undergoing pancreatic procedures at Loyola University Medical Center and Edward Hines, Jr., VA Hospital.

Related Experiment Videos

  • Analysis of 58 Whipple procedures, including 34 pancreatogastrostomies and 23 pancreatojejunostomies.

    • Main Results:

    • Zero leaks observed in 38 pancreatogastrostomy patients.
    • Four leaks and two deaths occurred in 23 pancreatojejunostomy patients.
    • No significant difference in average length of stay between the two groups, but leaks significantly increased stay.

    Conclusions:

    • Pancreatogastrostomy demonstrated superior safety with no leaks in this series.
    • The technique's adoption led to the discontinuation of pancreatojejunostomy at the center.
    • Pancreatogastrostomy is a viable and safer alternative for pancreatic remnant reconstruction.