title: Is pancreaticogastrostomy safer than pancreaticojejunostomy?
abstract: OBJECTIVE
  Failure of a pancreatic-enteric anastomosis very frequently leads to morbidity and mortality after pancreaticoduodenectomy. Pancreaticojejunostomy or pancreaticogastrostomy is often used after pancreaticoduodenectomy. The many reports on pancreaticogastrostomy support the low rates of anastomotic leakage and mortality compared with pancreaticojejunostomy.
  
  
  METHODS
  Between January 1995 and December 2004, 155 pancreaticojejunostomies and 58 pancreaticogastrostomies were performed after pancreatic resection in the Second Department of Surgery of Nagoya University Hospital. Postoperative morbidity and mortality were analyzed.
  
  
  RESULTS
  The incidence of pancreatic fistula was similar for the pancreaticojejunostomy (12.2%) and pancreaticogastrostomy (20.7%) groups and the mortality rate was 0% in both groups.
  
  
  CONCLUSIONS
  This restrospective clinical study suggested no significant difference in the incidence rate of pancreatic fistula and mortality between pancreaticojejunostomy and pancreaticogastrostomy.
authors.affiliation: Second Department of Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya, 466-8550, Japan.
authors.forename: Akimasa
authors.initials: A
authors.lastname: Nakao
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Fujii
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sugimoto
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Kaneko
authors.forename: Shin
authors.initials: S
authors.lastname: Takeda
authors.forename: Soichiro
authors.initials: S
authors.lastname: Inoue
authors.forename: Shuji
authors.initials: S
authors.lastname: Nomoto
authors.forename: Naohito
authors.initials: N
authors.lastname: Kanazumi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005763:Gastroenterostomy / Q000009:adverse effects / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery*; D010185:Pancreatic Fistula / Q000209:etiology; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy / Q000009:adverse effects / Q000401:mortality; D012189:Retrospective Studies