title: Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy.
abstract: Potential mechanisms of occurrence of pancreatic leakage mainly include leakage from the needle hole and from the seam at the adjacent stitch, anastomotic blood supply, tension at the anastomosis, poor anastomotic healing, etc. Binding pancreaticojejunostomy (BPJ) is a safe and effective technique that avoids the primary complication of pancreatic anastomosis leakage. There are two problems with BPJ: a high discrepancy in the size of pancreas stump and the jejunal lumen; sutures on to the pancreas for fixation might cause exudation of pancreatic juice into the abdominal cavity. In order to avoid these two problems, binding pancreaticogastrostomy (BPG) is designed and successfully performed clinically with encouraging results. BPG is good for accommodating a large pancreas stump, and the binding technique is very helpful in minimizing the leak rate of pancreaticogastrostomy.
authors: Department of General Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
authors: Shu You
authors: SY
authors: Peng
authors: Jian Wei
authors: JW
authors: Wang
authors: De Fei
authors: DF
authors: Hong
authors: Ying Bin
authors: YB
authors: Liu
authors: Yi Fan
authors: YF
authors: Wang
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D057868:Anastomotic Leak / Q000517:prevention & control*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010182:Pancreatic Diseases / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods*; D012307:Risk Factors