Comparison of Pancreatogastrostomy and Pancreatojejunostomy after Pancreatoduodenectomy Performed by One Surgeon View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1997-07

AUTHORS

Sun Whe Kim, Eui Gon Youk, Yong Hyun Park

ABSTRACT

Pancreatogastrostomy (PG) for restoring pancreaticoenteric continuity after pancreatoduodenectomy (PD) has been recommended by a few surgeons on the basis of certain theoretic and practical advantages of this procedure over pancreatojejunostomy (PJ). The purpose of this study was to determine whether PG can be a safe alternative to PJ. Eighty-six PDs performed by the same surgeon for periampullary carcinoma were analyzed to compare early and late postoperative results of PJ ( n= 38) and PG (n= 48). The two groups were comparable for age, sex, diagnosis, stage, and operation time. PJ leakage developed in six patients (15.8%) and PG leakage in one (2.1%) (p < 0.05). Overall rates of morbidity/hospital mortality were 34.2/7.9% and 18.8/4.2% in the PJ and PG groups, respectively. In conclusion, PG showed a more favorable early outcome than PJ. PG is recommended for surgeons who encounter difficulties with PJ for reconstruction after PD. More... »

PAGES

640-643

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s002689900286

DOI

http://dx.doi.org/10.1007/s002689900286

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1043731728

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/9230663


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