Does type of pancreaticojejunostomy
after pancreaticoduodenectomy decrease rate of pancreatic fistula?
was done as described by Poves et al.
The patient had undergone pancreaticojejunostomy
for chronic pancreatitis in the past following which he developed CBD stricture which leads to fistula following cholecystectomy.
A retrospective study reported that the incidence of pancreaticojejunostomy
stricture (PJS) was nearly 2% in pancreaticoduodenectomy, and the patients presented with intractable pain at a mean of 12 months after pancreaticojejunostomy
. The occurrence of a stricture is likely to induce obstructive pancreatitis in some individuals and may contribute to episodic pancreatitis events.
External drainage of pancreatic duct with a stent to reduce leakage rate of pancreaticojejunostomy
after pancreaticoduodenectomy: a prospective randomized trial.
These patients in which endoscopic treatments failed underwent modified Puestow pancreaticojejunostomy
We performed pancreaticojejunostomy
via duct-to-mucosa method with interrupted sutures of 4-0 PDS-II (polydioxanone; Johnson & Johnson Co., United States).
Anderson, "Outcome after lateral pancreaticojejunostomy
for chronic pancreatitis," Annals of Surgery, vol.
The reconstruction of pancreaticoenteric anastomosis was accomplished with a retrocolic, Rouxen-Y pancreaticojejunostomy
In our study the majority of the patients were treated with surgical internal drainage like cystogastrostomy in four patients and Frey's pancreaticojejunostomy
in one patient.
(i) MEDLINE: (Pancreaticoduodenectomy OR Pancreatoduodenectomy OR Whipple OR "pancreatoduodenal resection" OR "pancreaticoduodenal resection" OR pancreaticojejunostomy
OR pancreatojejunostomy OR "pancreaticoenteric anastomosis" OR "pancreatoenteric anastomosis" OR pancreaticogastrostomy OR pancreatogastrostomy OR "pancreaticogastric anastomosis" OR "pancreatogastric anastomosis" OR "pancreaticojejunal anastomosis" OR "pancreatojejunal anastomosis") AND ("Clinical Trials as Topic" OR "randomized controlled trial" OR "controlled clinical trial" OR randomized OR placebo OR randomly OR trial)
Tanaka, "Use of ultrasonically activated shears improves the safety of pancreaticojejunostomy
after pancreaticoduodenectomy," Archives of Surgery, vol.