Document Detail


Pancreaticojejunostomy of duct to mucosa anastomosis can be performed more safely without than with a stenting tube.
MedLine Citation:
PMID:  19217599     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The aim of this study was to evaluate the safety of performing a pancreaticojejunostomy with a duct-to-mucosa anastomosis without a stenting tube. METHODS: One hundred twenty-one patients with pancreaticojejunostomy, classified into 2 groups of those with duct-to-mucosa anastomoses with stenting tubes (group A; n = 49) and without stenting tubes (group B; n = 72), were investigated. Outcomes, including complications and survival rates, are reported. RESULTS: In group A, morbidity was 32.7%, 6.7% had pancreatic fistulas, 14.3% had delayed gastric emptying, 6.1% had remnant pancreatitis, 2% had intra-abdominal abscesses, 2% had intra-abdominal bleeding, and mortality was 2%. In group B, morbidity (15.3%) and delayed gastric emptying (2.8%) showed significant differences from group A. Other results were nonsignificant. In the normal soft pancreas, pancreatic fistulas in group B (3.3%) were less frequent than in group A (12.5%). CONCLUSION: Pancreaticojejunostomy of a duct-to-mucosa anastomosis could be performed more safely without than with a stenting tube to obtain a definitive anastomosis and transection of the pancreas.
Authors:
Shuji Suzuki; Satoshi Kaji; Nobusada Koike; Nobuhiko Harada; Seiichi Tanaka; Tsuneo Hayashi; Mamoru Suzuki; Fujio Hanyu
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-02-13
Journal Detail:
Title:  American journal of surgery     Volume:  198     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-26     Completed Date:  2009-07-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  51-4     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Hachioji Digestive Disease Hospital, Hachioji City, Tokyo, Japan. dr802@nifty.com
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MeSH Terms
Descriptor/Qualifier:
Aged
Female
Follow-Up Studies
Humans
Intestinal Mucosa / pathology,  surgery
Japan / epidemiology
Jejunum / pathology,  surgery*
Male
Middle Aged
Morbidity / trends
Pancreatic Diseases / surgery*
Pancreatic Ducts / pathology,  surgery*
Pancreaticojejunostomy / methods*
Postoperative Complications / epidemiology
Retrospective Studies
Stents*
Survival Rate / trends
Treatment Outcome

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


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