Pancreaticogastrostomy: clinical experience with a direct pancreatic-duct-to-gastric-mucosa anastomosis.
The propensity for leakage and disruption at the site of the pancreaticojejunostomy is a major reason for morbidity and death after pancreaticoduodenal resection. Because it is less prone to leakage and disruption, pancreaticogastrostomy has been reintroduced as a possible alternative to pancreaticojejunostomy. Of four patients in whom the pancreas was simply implanted into the stomach and five patients in whom a direct pancreatic-duct-to-gastric-mucosa anastomosis was constructed, there was no morbidity or death related to the pancreatic anastomosis. Because of evidence that a direct pancreatic-duct-to-gastric-mucosa anastomosis has an increased incidence of patency and because it was successful in a clinical setting, it is recommended.
D000368:Aged; D005260:Female; D005753:Gastric Mucosa / Q000601:surgery*; D005774:Gastrostomy; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010183:Pancreatic Ducts / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000601:surgery; D011183:Postoperative Complications