Document Detail

Pancreaticogastrostomy: preferred reconstruction for Whipple resection.
MedLine Citation:
PMID:  8479169     Owner:  NLM     Status:  MEDLINE    
Anastomotic leak is the main complication after Whipple procedures. We reviewed retrospectively our experience with pancreatic cancer patients treated with Whipple resection and reconstruction with a pancreaticogastrostomy (PG) or a pancreaticojejunostomy (PJ). Ten patients operated between 1966 and 1990 composed the PJ group. Eight patients operated recently made up the PG group. Data on age, length of stay (LOS), survival, and complications (early and late) were noted from patient's charts. Patients in the PJ group had an average age of 58.3 years, a mean LOS of 60.3 days (median, 48 days), and a mean survival of 14.5 months. PG group patients had a mean age of 64.5 years, an average LOS of 14.3 days (median, 14 days), and an average survival of 10+ months. None of these differences were significant. Major complications in the PJ group included 2 leaks, 2 cases of pancreatic insufficiency, and 2 deaths related to the anastomotic leaks. Eleven other major complications occurred. The PG group patients did not have any leaks. One developed pancreatic insufficiency. Complications in the PG group were much less serious than those in PJ group. The longest hospital stay in the PG group was 20 days (range, 2-20) and 144 days (range, 11-144) in the PJ group. We conclude that PG is superior to PJ because of the decreased incidence of anastomotic leaks and the less serious nature of the complications associated with PG.
D M Morris; R S Ford
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The Journal of surgical research     Volume:  54     ISSN:  0022-4804     ISO Abbreviation:  J. Surg. Res.     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-05-25     Completed Date:  1993-05-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376340     Medline TA:  J Surg Res     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  122-5     Citation Subset:  IM    
Department of Surgery, University of New Mexico Medical School, Albuquerque 87131.
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MeSH Terms
Anastomosis, Surgical*
Evaluation Studies as Topic
Gastric Mucosa / surgery*
Medical Illustration
Middle Aged
Pancreatic Ducts / surgery*
Pancreatic Neoplasms / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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