Late Pancreatic Anastomosis Stricture Following Pancreaticoduodenectomy: a Systematic Review View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2018-11

AUTHORS

Alban Zarzavadjian Le Bian, Manuela Cesaretti, Nicolas Tabchouri, Philippe Wind, David Fuks

ABSTRACT

BACKGROUND: With an increasing postoperative survival and prolonged follow-up, late complications following pancreaticoduodenectomy (PD) have yet to be thoroughly described and analyzed. Among those, pancreatic anastomosis stricture may lead to severe consequences. METHODS: A systematic review focusing on pancreaticojejunostomy anastomosis (PJA) stricture. RESULTS: PJA stricture incidence reached 1.4-11.4% with a median time interval of 34 months after PD. No risk factor was identified. PJA stricture repercussions were inconsistent but postprandial abdominal pain and recurrent acute pancreatitis were the most common symptoms, followed by impaired pancreatic function. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography (SMRCP) sensitivity reached 56-100%. As impaired pancreatic function is not improved by any procedure, only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted "rendezvous") should be proposed prior to surgical repair, with a morbidity, an overall technical and clinical success reaching 16.5-33% and 28.6-100% and 33-100%, respectively. Regarding surgical repair, overall morbidity varied between 14.3 and 33%, with a clinical success reaching 26.1-100%. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies. CONCLUSION: PJA stricture following PD is a late, unusual, and potentially serious complication. When there is currently no clear consensus, PJA stricture leading to abdominal pain or acute pancreatitis should be considered treatment. With increasing survival after PD, further studies should focus on late complications. CORE TIP: Stricture of pancraticojejunostomy is a late and potentially serious complication after pancreaticoduodenectomy. Incidence reaches 1.4-11.4% and no risk factor is identified. Symptoms are inconsistent but postprandial abdominal pain, recurrent acute pancreatitis, and impaired pancreatic function are the most frequent. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography is the best modality. Only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted "rendezvous") should be proposed prior to surgical repair. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies. More... »

PAGES

2021-2028

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s11605-018-3859-x

DOI

http://dx.doi.org/10.1007/s11605-018-3859-x

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1105334867

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/29980974


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "name": [
            "Department of Digestive Surgery and Surgical Oncology \u2013 H\u00f4pital Avicenne, Assistance Publique \u2013 H\u00f4pitaux de Paris, Universit\u00e9 Paris XIII, 125 rue de Stalingrad, 93000, Bobigny, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Zarzavadjian Le Bian", 
        "givenName": "Alban", 
        "id": "sg:person.0755001572.75", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0755001572.75"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "H\u00f4pital Saint-Joseph", 
          "id": "https://www.grid.ac/institutes/grid.414363.7", 
          "name": [
            "Department of Digestive Surgery, Groupe Hospitalier Paris Saint-Joseph, 185, rue Raymond Losserand, 75014, Paris, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Cesaretti", 
        "givenName": "Manuela", 
        "id": "sg:person.01310454726.65", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01310454726.65"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Department of Digestive, Oncologic and Metabolic Surgery \u2013 Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Tabchouri", 
        "givenName": "Nicolas", 
        "id": "sg:person.01321532552.88", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01321532552.88"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "Department of Digestive Surgery and Surgical Oncology \u2013 H\u00f4pital Avicenne, Assistance Publique \u2013 H\u00f4pitaux de Paris, Universit\u00e9 Paris XIII, 125 rue de Stalingrad, 93000, Bobigny, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wind", 
        "givenName": "Philippe", 
        "id": "sg:person.01021156276.57", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01021156276.57"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Paris Descartes University", 
          "id": "https://www.grid.ac/institutes/grid.10992.33", 
          "name": [
            "Department of Digestive, Oncologic and Metabolic Surgery \u2013 Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France", 
            "Universit\u00e9 Paris Descartes, 15 rue de l\u2019Ecole de M\u00e9decine, 75006, Paris, France"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fuks", 
        "givenName": "David", 
        "id": "sg:person.01360355171.30", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01360355171.30"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "https://doi.org/10.1111/j.1477-2574.2010.00214.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1003494039"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.gie.2009.10.048", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1010543043"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1053/j.gastro.2014.05.035", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1013471603"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1159/000158596", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1014661924"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.surg.2016.06.040", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1017803196"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0016-5107(03)02300-9", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1023572676"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1477-2574.2009.00154.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024372251"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11605-007-0369-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024420177", 
          "https://doi.org/10.1007/s11605-007-0369-7"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.8713", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025287508"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11605-015-3012-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027646814", 
          "https://doi.org/10.1007/s11605-015-3012-z"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02557520", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027738706", 
          "https://doi.org/10.1007/bf02557520"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/bf02557520", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1027738706", 
          "https://doi.org/10.1007/bf02557520"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.amjsurg.2008.03.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032058771"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.2009.127", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033531283"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s11605-007-0159-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035297145", 
          "https://doi.org/10.1007/s11605-007-0159-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1067/mge.2002.123621", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1035354518"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1245/s10434-011-1594-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036354384", 
          "https://doi.org/10.1245/s10434-011-1594-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/hpb.12078", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1036356514"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.gie.2010.10.015", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1037671248"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3348/kjr.2016.17.5.797", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041444647"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.gie.2010.07.017", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1042623132"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.1958.01280240056009", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1043113355"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199407000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044611168"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199407000-00008", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044611168"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.136.4.391", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046150530"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1477-2574.2009.00007.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1047708097"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.pan.2013.03.012", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1050604835"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1186/s12893-015-0109-y", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051561923", 
          "https://doi.org/10.1186/s12893-015-0109-y"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199305010-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051899973"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199305010-00002", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1051899973"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0029-1215081", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057187249"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0034-1391083", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057325956"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-0034-1391245", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057326091"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1055/s-2006-945003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1057463305"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199709000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134615"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199709000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134615"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199709000-00004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134615"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.3748/wjg.v19.i31.5182", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1071369605"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s0140-6736(17)30126-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1074211951"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078400305", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1078551845", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1079738994", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1081459717", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1083361200", 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/j.pan.2017.09.004", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1091512215"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.18632/oncotarget.17450", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1092474776"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2018-11", 
    "datePublishedReg": "2018-11-01", 
    "description": "BACKGROUND: With an increasing postoperative survival and prolonged follow-up, late complications following pancreaticoduodenectomy (PD) have yet to be thoroughly described and analyzed. Among those, pancreatic anastomosis stricture may lead to severe consequences.\nMETHODS: A systematic review focusing on pancreaticojejunostomy anastomosis (PJA) stricture.\nRESULTS: PJA stricture incidence reached 1.4-11.4% with a median time interval of 34\u00a0months after PD. No risk factor was identified. PJA stricture repercussions were inconsistent but postprandial abdominal pain and recurrent acute pancreatitis were the most common symptoms, followed by impaired pancreatic function. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography (SMRCP) sensitivity reached 56-100%. As impaired pancreatic function is not improved by any procedure, only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted \"rendezvous\") should be proposed prior to surgical repair, with a morbidity, an overall technical and clinical success reaching 16.5-33% and 28.6-100% and 33-100%, respectively. Regarding surgical repair, overall morbidity varied between 14.3 and 33%, with a clinical success reaching 26.1-100%. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies.\nCONCLUSION: PJA stricture following PD is a late, unusual, and potentially serious complication. When there is currently no clear consensus, PJA stricture leading to abdominal pain or acute pancreatitis should be considered treatment. With increasing survival after PD, further studies should focus on late complications.\nCORE TIP: Stricture of pancraticojejunostomy is a late and potentially serious complication after pancreaticoduodenectomy. Incidence reaches 1.4-11.4% and no risk factor is identified. Symptoms are inconsistent but postprandial abdominal pain, recurrent acute pancreatitis, and impaired pancreatic function are the most frequent. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography is the best modality. Only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted \"rendezvous\") should be proposed prior to surgical repair. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s11605-018-3859-x", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1116755", 
        "issn": [
          "1091-255X", 
          "1873-4626"
        ], 
        "name": "Journal of Gastrointestinal Surgery", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "11", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "22"
      }
    ], 
    "name": "Late Pancreatic Anastomosis Stricture Following Pancreaticoduodenectomy: a Systematic Review", 
    "pagination": "2021-2028", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "3ab0d2ea7118be6fcecc3ee8080d208446db79770ca579fefee6d52e144fe624"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "29980974"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "9706084"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s11605-018-3859-x"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1105334867"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s11605-018-3859-x", 
      "https://app.dimensions.ai/details/publication/pub.1105334867"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T02:32", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000001_0000000264/records_8700_00000609.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://link.springer.com/10.1007%2Fs11605-018-3859-x"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3859-x'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3859-x'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3859-x'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s11605-018-3859-x'


 

This table displays all metadata directly associated to this object as RDF triples.

231 TRIPLES      21 PREDICATES      70 URIs      21 LITERALS      9 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s11605-018-3859-x schema:about anzsrc-for:11
2 anzsrc-for:1103
3 schema:author Nc910ab10367643719499b5c16dce877d
4 schema:citation sg:pub.10.1007/bf02557520
5 sg:pub.10.1007/s11605-007-0159-2
6 sg:pub.10.1007/s11605-007-0369-7
7 sg:pub.10.1007/s11605-015-3012-z
8 sg:pub.10.1186/s12893-015-0109-y
9 sg:pub.10.1245/s10434-011-1594-6
10 https://app.dimensions.ai/details/publication/pub.1078400305
11 https://app.dimensions.ai/details/publication/pub.1078551845
12 https://app.dimensions.ai/details/publication/pub.1079738994
13 https://app.dimensions.ai/details/publication/pub.1081459717
14 https://app.dimensions.ai/details/publication/pub.1083361200
15 https://doi.org/10.1001/archsurg.136.4.391
16 https://doi.org/10.1001/archsurg.1958.01280240056009
17 https://doi.org/10.1001/archsurg.2009.127
18 https://doi.org/10.1002/bjs.8713
19 https://doi.org/10.1016/j.amjsurg.2008.03.004
20 https://doi.org/10.1016/j.gie.2009.10.048
21 https://doi.org/10.1016/j.gie.2010.07.017
22 https://doi.org/10.1016/j.gie.2010.10.015
23 https://doi.org/10.1016/j.pan.2013.03.012
24 https://doi.org/10.1016/j.pan.2017.09.004
25 https://doi.org/10.1016/j.surg.2016.06.040
26 https://doi.org/10.1016/s0016-5107(03)02300-9
27 https://doi.org/10.1016/s0140-6736(17)30126-5
28 https://doi.org/10.1053/j.gastro.2014.05.035
29 https://doi.org/10.1055/s-0029-1215081
30 https://doi.org/10.1055/s-0034-1391083
31 https://doi.org/10.1055/s-0034-1391245
32 https://doi.org/10.1055/s-2006-945003
33 https://doi.org/10.1067/mge.2002.123621
34 https://doi.org/10.1097/00000658-199305010-00002
35 https://doi.org/10.1097/00000658-199407000-00008
36 https://doi.org/10.1097/00000658-199709000-00004
37 https://doi.org/10.1111/hpb.12078
38 https://doi.org/10.1111/j.1477-2574.2009.00007.x
39 https://doi.org/10.1111/j.1477-2574.2009.00154.x
40 https://doi.org/10.1111/j.1477-2574.2010.00214.x
41 https://doi.org/10.1159/000158596
42 https://doi.org/10.18632/oncotarget.17450
43 https://doi.org/10.3348/kjr.2016.17.5.797
44 https://doi.org/10.3748/wjg.v19.i31.5182
45 schema:datePublished 2018-11
46 schema:datePublishedReg 2018-11-01
47 schema:description BACKGROUND: With an increasing postoperative survival and prolonged follow-up, late complications following pancreaticoduodenectomy (PD) have yet to be thoroughly described and analyzed. Among those, pancreatic anastomosis stricture may lead to severe consequences. METHODS: A systematic review focusing on pancreaticojejunostomy anastomosis (PJA) stricture. RESULTS: PJA stricture incidence reached 1.4-11.4% with a median time interval of 34 months after PD. No risk factor was identified. PJA stricture repercussions were inconsistent but postprandial abdominal pain and recurrent acute pancreatitis were the most common symptoms, followed by impaired pancreatic function. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography (SMRCP) sensitivity reached 56-100%. As impaired pancreatic function is not improved by any procedure, only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted "rendezvous") should be proposed prior to surgical repair, with a morbidity, an overall technical and clinical success reaching 16.5-33% and 28.6-100% and 33-100%, respectively. Regarding surgical repair, overall morbidity varied between 14.3 and 33%, with a clinical success reaching 26.1-100%. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies. CONCLUSION: PJA stricture following PD is a late, unusual, and potentially serious complication. When there is currently no clear consensus, PJA stricture leading to abdominal pain or acute pancreatitis should be considered treatment. With increasing survival after PD, further studies should focus on late complications. CORE TIP: Stricture of pancraticojejunostomy is a late and potentially serious complication after pancreaticoduodenectomy. Incidence reaches 1.4-11.4% and no risk factor is identified. Symptoms are inconsistent but postprandial abdominal pain, recurrent acute pancreatitis, and impaired pancreatic function are the most frequent. To confirm diagnosis, secretin-enhanced magnetic resonance cholangiopancreatography is the best modality. Only PJA stricture leading to abdominal pain or acute pancreatitis should be considered for treatment. Endoscopic techniques (mainly ultrasound-assisted "rendezvous") should be proposed prior to surgical repair. Finally, total pancreatectomy with islet auto-transplantation should be considered only for pain intractable to medical management and recurrent acute pancreatitis which has failed medical, endoscopic, and traditional surgical management strategies.
48 schema:genre research_article
49 schema:inLanguage en
50 schema:isAccessibleForFree false
51 schema:isPartOf N2de2189718d948aeab6ceaeab17fa74a
52 Ne048fd3ff6f740dcab6eea5bcea551db
53 sg:journal.1116755
54 schema:name Late Pancreatic Anastomosis Stricture Following Pancreaticoduodenectomy: a Systematic Review
55 schema:pagination 2021-2028
56 schema:productId N01f24c7d147140338d972e1e23057bf4
57 N2d32734fad7843af8f6b1ad1ca9afce4
58 N46a3863100464a53b1aa0c54456a0828
59 N76bdc779b45841a483dcead8a617449a
60 Na3609ba01dac4af3b129e61d7904fa9e
61 schema:sameAs https://app.dimensions.ai/details/publication/pub.1105334867
62 https://doi.org/10.1007/s11605-018-3859-x
63 schema:sdDatePublished 2019-04-11T02:32
64 schema:sdLicense https://scigraph.springernature.com/explorer/license/
65 schema:sdPublisher Nb2120084eeaf40f6b9b4057c90999f7f
66 schema:url https://link.springer.com/10.1007%2Fs11605-018-3859-x
67 sgo:license sg:explorer/license/
68 sgo:sdDataset articles
69 rdf:type schema:ScholarlyArticle
70 N01f24c7d147140338d972e1e23057bf4 schema:name dimensions_id
71 schema:value pub.1105334867
72 rdf:type schema:PropertyValue
73 N09633ff069014147b6613c4c44d4bcb0 schema:name Department of Digestive Surgery and Surgical Oncology – Hôpital Avicenne, Assistance Publique – Hôpitaux de Paris, Université Paris XIII, 125 rue de Stalingrad, 93000, Bobigny, France
74 rdf:type schema:Organization
75 N11c62eab7d8e4073b20f941d0ad90ef5 schema:name Department of Digestive Surgery and Surgical Oncology – Hôpital Avicenne, Assistance Publique – Hôpitaux de Paris, Université Paris XIII, 125 rue de Stalingrad, 93000, Bobigny, France
76 rdf:type schema:Organization
77 N2d32734fad7843af8f6b1ad1ca9afce4 schema:name readcube_id
78 schema:value 3ab0d2ea7118be6fcecc3ee8080d208446db79770ca579fefee6d52e144fe624
79 rdf:type schema:PropertyValue
80 N2de2189718d948aeab6ceaeab17fa74a schema:issueNumber 11
81 rdf:type schema:PublicationIssue
82 N418cd87527954ad9824be48fce0f5152 rdf:first sg:person.01321532552.88
83 rdf:rest Nca13c3dc10cb427c88f112367657c4b8
84 N46a3863100464a53b1aa0c54456a0828 schema:name pubmed_id
85 schema:value 29980974
86 rdf:type schema:PropertyValue
87 N76bdc779b45841a483dcead8a617449a schema:name nlm_unique_id
88 schema:value 9706084
89 rdf:type schema:PropertyValue
90 N7b818ad94f5442d9bf19ca1b9c403eb8 rdf:first sg:person.01360355171.30
91 rdf:rest rdf:nil
92 N849b1d981d7344aea5d7316cf87bc3b1 schema:name Department of Digestive, Oncologic and Metabolic Surgery – Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
93 rdf:type schema:Organization
94 Na3609ba01dac4af3b129e61d7904fa9e schema:name doi
95 schema:value 10.1007/s11605-018-3859-x
96 rdf:type schema:PropertyValue
97 Nb2120084eeaf40f6b9b4057c90999f7f schema:name Springer Nature - SN SciGraph project
98 rdf:type schema:Organization
99 Nc910ab10367643719499b5c16dce877d rdf:first sg:person.0755001572.75
100 rdf:rest Nd99daef5849f4b1791152fede3971da3
101 Nca13c3dc10cb427c88f112367657c4b8 rdf:first sg:person.01021156276.57
102 rdf:rest N7b818ad94f5442d9bf19ca1b9c403eb8
103 Nd99daef5849f4b1791152fede3971da3 rdf:first sg:person.01310454726.65
104 rdf:rest N418cd87527954ad9824be48fce0f5152
105 Ne048fd3ff6f740dcab6eea5bcea551db schema:volumeNumber 22
106 rdf:type schema:PublicationVolume
107 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
108 schema:name Medical and Health Sciences
109 rdf:type schema:DefinedTerm
110 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
111 schema:name Clinical Sciences
112 rdf:type schema:DefinedTerm
113 sg:journal.1116755 schema:issn 1091-255X
114 1873-4626
115 schema:name Journal of Gastrointestinal Surgery
116 rdf:type schema:Periodical
117 sg:person.01021156276.57 schema:affiliation N09633ff069014147b6613c4c44d4bcb0
118 schema:familyName Wind
119 schema:givenName Philippe
120 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01021156276.57
121 rdf:type schema:Person
122 sg:person.01310454726.65 schema:affiliation https://www.grid.ac/institutes/grid.414363.7
123 schema:familyName Cesaretti
124 schema:givenName Manuela
125 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01310454726.65
126 rdf:type schema:Person
127 sg:person.01321532552.88 schema:affiliation N849b1d981d7344aea5d7316cf87bc3b1
128 schema:familyName Tabchouri
129 schema:givenName Nicolas
130 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01321532552.88
131 rdf:type schema:Person
132 sg:person.01360355171.30 schema:affiliation https://www.grid.ac/institutes/grid.10992.33
133 schema:familyName Fuks
134 schema:givenName David
135 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01360355171.30
136 rdf:type schema:Person
137 sg:person.0755001572.75 schema:affiliation N11c62eab7d8e4073b20f941d0ad90ef5
138 schema:familyName Zarzavadjian Le Bian
139 schema:givenName Alban
140 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0755001572.75
141 rdf:type schema:Person
142 sg:pub.10.1007/bf02557520 schema:sameAs https://app.dimensions.ai/details/publication/pub.1027738706
143 https://doi.org/10.1007/bf02557520
144 rdf:type schema:CreativeWork
145 sg:pub.10.1007/s11605-007-0159-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035297145
146 https://doi.org/10.1007/s11605-007-0159-2
147 rdf:type schema:CreativeWork
148 sg:pub.10.1007/s11605-007-0369-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024420177
149 https://doi.org/10.1007/s11605-007-0369-7
150 rdf:type schema:CreativeWork
151 sg:pub.10.1007/s11605-015-3012-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1027646814
152 https://doi.org/10.1007/s11605-015-3012-z
153 rdf:type schema:CreativeWork
154 sg:pub.10.1186/s12893-015-0109-y schema:sameAs https://app.dimensions.ai/details/publication/pub.1051561923
155 https://doi.org/10.1186/s12893-015-0109-y
156 rdf:type schema:CreativeWork
157 sg:pub.10.1245/s10434-011-1594-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036354384
158 https://doi.org/10.1245/s10434-011-1594-6
159 rdf:type schema:CreativeWork
160 https://app.dimensions.ai/details/publication/pub.1078400305 schema:CreativeWork
161 https://app.dimensions.ai/details/publication/pub.1078551845 schema:CreativeWork
162 https://app.dimensions.ai/details/publication/pub.1079738994 schema:CreativeWork
163 https://app.dimensions.ai/details/publication/pub.1081459717 schema:CreativeWork
164 https://app.dimensions.ai/details/publication/pub.1083361200 schema:CreativeWork
165 https://doi.org/10.1001/archsurg.136.4.391 schema:sameAs https://app.dimensions.ai/details/publication/pub.1046150530
166 rdf:type schema:CreativeWork
167 https://doi.org/10.1001/archsurg.1958.01280240056009 schema:sameAs https://app.dimensions.ai/details/publication/pub.1043113355
168 rdf:type schema:CreativeWork
169 https://doi.org/10.1001/archsurg.2009.127 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033531283
170 rdf:type schema:CreativeWork
171 https://doi.org/10.1002/bjs.8713 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025287508
172 rdf:type schema:CreativeWork
173 https://doi.org/10.1016/j.amjsurg.2008.03.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032058771
174 rdf:type schema:CreativeWork
175 https://doi.org/10.1016/j.gie.2009.10.048 schema:sameAs https://app.dimensions.ai/details/publication/pub.1010543043
176 rdf:type schema:CreativeWork
177 https://doi.org/10.1016/j.gie.2010.07.017 schema:sameAs https://app.dimensions.ai/details/publication/pub.1042623132
178 rdf:type schema:CreativeWork
179 https://doi.org/10.1016/j.gie.2010.10.015 schema:sameAs https://app.dimensions.ai/details/publication/pub.1037671248
180 rdf:type schema:CreativeWork
181 https://doi.org/10.1016/j.pan.2013.03.012 schema:sameAs https://app.dimensions.ai/details/publication/pub.1050604835
182 rdf:type schema:CreativeWork
183 https://doi.org/10.1016/j.pan.2017.09.004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1091512215
184 rdf:type schema:CreativeWork
185 https://doi.org/10.1016/j.surg.2016.06.040 schema:sameAs https://app.dimensions.ai/details/publication/pub.1017803196
186 rdf:type schema:CreativeWork
187 https://doi.org/10.1016/s0016-5107(03)02300-9 schema:sameAs https://app.dimensions.ai/details/publication/pub.1023572676
188 rdf:type schema:CreativeWork
189 https://doi.org/10.1016/s0140-6736(17)30126-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1074211951
190 rdf:type schema:CreativeWork
191 https://doi.org/10.1053/j.gastro.2014.05.035 schema:sameAs https://app.dimensions.ai/details/publication/pub.1013471603
192 rdf:type schema:CreativeWork
193 https://doi.org/10.1055/s-0029-1215081 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057187249
194 rdf:type schema:CreativeWork
195 https://doi.org/10.1055/s-0034-1391083 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057325956
196 rdf:type schema:CreativeWork
197 https://doi.org/10.1055/s-0034-1391245 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057326091
198 rdf:type schema:CreativeWork
199 https://doi.org/10.1055/s-2006-945003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1057463305
200 rdf:type schema:CreativeWork
201 https://doi.org/10.1067/mge.2002.123621 schema:sameAs https://app.dimensions.ai/details/publication/pub.1035354518
202 rdf:type schema:CreativeWork
203 https://doi.org/10.1097/00000658-199305010-00002 schema:sameAs https://app.dimensions.ai/details/publication/pub.1051899973
204 rdf:type schema:CreativeWork
205 https://doi.org/10.1097/00000658-199407000-00008 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044611168
206 rdf:type schema:CreativeWork
207 https://doi.org/10.1097/00000658-199709000-00004 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134615
208 rdf:type schema:CreativeWork
209 https://doi.org/10.1111/hpb.12078 schema:sameAs https://app.dimensions.ai/details/publication/pub.1036356514
210 rdf:type schema:CreativeWork
211 https://doi.org/10.1111/j.1477-2574.2009.00007.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1047708097
212 rdf:type schema:CreativeWork
213 https://doi.org/10.1111/j.1477-2574.2009.00154.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1024372251
214 rdf:type schema:CreativeWork
215 https://doi.org/10.1111/j.1477-2574.2010.00214.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1003494039
216 rdf:type schema:CreativeWork
217 https://doi.org/10.1159/000158596 schema:sameAs https://app.dimensions.ai/details/publication/pub.1014661924
218 rdf:type schema:CreativeWork
219 https://doi.org/10.18632/oncotarget.17450 schema:sameAs https://app.dimensions.ai/details/publication/pub.1092474776
220 rdf:type schema:CreativeWork
221 https://doi.org/10.3348/kjr.2016.17.5.797 schema:sameAs https://app.dimensions.ai/details/publication/pub.1041444647
222 rdf:type schema:CreativeWork
223 https://doi.org/10.3748/wjg.v19.i31.5182 schema:sameAs https://app.dimensions.ai/details/publication/pub.1071369605
224 rdf:type schema:CreativeWork
225 https://www.grid.ac/institutes/grid.10992.33 schema:alternateName Paris Descartes University
226 schema:name Department of Digestive, Oncologic and Metabolic Surgery – Institut Mutualiste Montsouris, 42 Boulevard Jourdan, 75014, Paris, France
227 Université Paris Descartes, 15 rue de l’Ecole de Médecine, 75006, Paris, France
228 rdf:type schema:Organization
229 https://www.grid.ac/institutes/grid.414363.7 schema:alternateName Hôpital Saint-Joseph
230 schema:name Department of Digestive Surgery, Groupe Hospitalier Paris Saint-Joseph, 185, rue Raymond Losserand, 75014, Paris, France
231 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...