[Pancreato-gastric anastomosis after cephalic duodenopancreatectomy. Apropos of 36 cases].
After pancreaticoduodenal resection, a pancreatic fistula is observed in 10% of cases with a mortality rate of 20-30%. The pancreatogastrostomy was evaluated as an alternative method of restoring pancreaticointestinal continuity. From 1989 to 1991, 36 patients have undergone pancreatogastrostomy, after pancreaticoduodenectomy. The mortality rate was 2.7% (one pulmonary embolism). The morbidity rate was 2.7% (one pancreatic fistula). A endoscopic examination with injection of pancreatic duct was performed in 12 patients: in 9 cases we had a visualization of the anastomosis between the stomach and the pancreatic duct. These results confirm that pancratogastrostomy is a safe method of pancreatic drainage after pancreatoduodenectomy.
Arnaud
J P
JP
C.H.U. Angers, Service de Chirurgie viscérale.
Casa
C
C
Serra-Maudet
V
V
Georgeac
C
C
Ronceray
J
J
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D011183:Postoperative Complications / Q000517:prevention & control; D013270:Stomach / Q000601:surgery*; D013997:Time Factors
Anastomose pancréato-gastrique après duodénopancréatectomie céphalique. A propos de 36 cas.