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  • Title: A novel reconstructive procedure after pancreaticoduodenectomy: J-pouch dunking pancreaticojejunostomy.
    Author: Müftüoglu MA, Saglam A.
    Journal: Hepatogastroenterology; 2003; 50(54):2233-5. PubMed ID: 14696505.
    Abstract:
    Leakage of the pancreaticojejunostomy remains a major complication after pancreaticoduodenectomy. Several methods have been advocated in order to reduce anastomotic fistula but none of them reached a significant difference in preventing the leakage. We developed a new technique called "J-pouch dunking pancreaticojejunostomy". A "J" pouch is made from the distal 20 to 30 cm of jejunum by using a GIA linear stapler. A transverse incision is made on the jejunal base. As a result, we have enough jejunal stoma to anastomose the pancreatic remnant. A soft pancreas and small pancreatic size are known to be risk factors in pancreatic anastomosis. This technique is designed to eliminate the several factors related to pancreatic anastomotic leakage.
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