Scientific paperAre pancreatoenteric anastomoses improved by duct-to-mucosa sutures?☆
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Cited by (78)
Pancreatic fistula following pancreatoduodenectomy. Evaluation of different surgical approaches in the management of pancreatic stump. Literature review
2015, International Journal of SurgeryCitation Excerpt :PJ is most commonly used method of pacreato-enteric anastomosis after PD. Many Authors found that PJ duct to mucosa anastomosis is the safest option, particularly in case of wide pancreatic ducts, usually associated with firm or hard pancreatic tissue [58,59]. Marcus et al. identified low and high risk patients considering the patient related risk factors such as age (>70 years), gender (male), jaundice, malnutrition, and pancreas anatomic and functional related factors such as pancreatic disease, pancreatic softness, pancreatic duct caliber.
Pancreaticojejunostomy with double-layer continuous suturing is associated with a lower risk of pancreatic fistula after pancreaticoduodenectomy: A comparative study
2015, International Journal of SurgeryCitation Excerpt :A recent review estimated the incidence of this complication to be 10–28.5% [5]. To reduce the incidence of POPF, a number of methods, including pancreaticogastrostomy, duct-to-mucosa anastomosis, pancreatic duct occlusion, the use of biologic adhesive, intraoperative transanastomotic stents, and PD with or without external pancreatic duct drainage, have been proposed and tested [6–15]. Various reconstruction methods were also developed to diminish pancreatic leakage, such as end-to-end pancreaticojejunostomy, end-to-side pancreaticojejunostomy and their modifications.
Triple-layer duct-to-mucosa pancreaticojejunostomy with resection of jejunal serosa decreased pancreatic fistula after pancreaticoduodenectomy
2014, Journal of Surgical ResearchCitation Excerpt :However, two recent studies revealed that binding PJ after PD could not decrease the PF rate, one of which also found higher incidence of hemorrhage in the patients with binding PJ when compared with duct-to-mucosa PJ [28,29]. Duct-to-mucosa PJ is commonly used by many surgeons and usually described as being safer and having a significantly lower leakage rate [30,31]. So we decided to search for technical improvements of duct-to-mucosa PJ to reduce the PF rate.
Options of restorative pancreaticoenteric anastomosis following pancreaticoduodenectomy: A review
2010, Surgical OncologyCitation Excerpt :Another study recently reported incidence of leak to be 5% in DM PJ compared to 22% in total external tube drainage [58]. DM PJ is difficult to secure in a small pancreatic duct, thus a microscopic technique has been advocated by Greene [68]. The microscopic technique is difficult to perform in a soft gland with small and thin pancreatic duct because of the difference in wall thickness between the two structures and fragility of the duct [69].
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Presented at the 31st Annual Meeting of the Society for Surgery of the Alimentary Tract, San Antonio, Texas, May 15–16, 1990.