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  • Title: Reappraisal of pancreaticojejunostomy after pancreaticoduodenectomy: a report of 86 cases with particular reference to the rate of pancreatic fistulation.
    Author: Berdah S, Panis Y, Gleizes V, Sastre B, Valleur P.
    Journal: Eur J Surg; 1997 May; 163(5):365-9. PubMed ID: 9195170.
    Abstract:
    OBJECTIVE: To report our experience of 86 patients who underwent pancreaticoduodenectomy followed by pancreaticojejunostomy, paying particular attention to the rate of fistulation. DESIGN: Retrospective study. SETTING: Two teaching hospitals, France. SUBJECTS: 86 patients (58 men and 28 women) who required pancreatic resection for adenocarcinomas of the head of the pancreas (n = 34), chronic pancreatitis (n = 21), cancer of the ampulla of Vater (n = 12), cancer of the distal bile duct (n = 6), or other causes (n = 13). INTERVENTION: Pancreaticoduodenectomy followed by pancreaticojejunostomy with mucosa to mucosa suture. RESULTS: 26 patients (30%) developed complications, 9 (10%) required reoperation, and 8 (9%) died postoperatively. Pancreatic fistulas developed in 2 (2%), one of whom was successfully treated conservatively. The other was reoperated on and died on day 40. CONCLUSION: Pancreaticojejunostomy after pancreaticoduodenectomy is safe, and the rate of fistulation compares favourably with that after pancreaticogastrostomy (2%).
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