Pancreaticojejunostomy of duct to mucosa anastomosis can be performed more safely without than with a stenting tube
| Autor: | Mamoru Suzuki, Seiichi Tanaka, Nobuhiko Harada, Tsuneo Hayashi, Nobusada Koike, Fujio Hanyu, Shuji Suzuki, Satoshi Kaji |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Fistula Anastomosis Postoperative Complications Japan Pancreaticojejunostomy medicine Humans Intestinal Mucosa Aged Retrospective Studies Gastric emptying business.industry Pancreatic Ducts Pancreatic Diseases Stent Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Survival Rate Jejunum Treatment Outcome medicine.anatomical_structure Pancreatic fistula Pancreatitis Female Stents Radiology Morbidity business Pancreas Follow-Up Studies |
| Zdroj: | The American Journal of Surgery. 198:51-54 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2008.05.008 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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