title: Preliminary results of binding pancreaticojejunostomy.
abstract: OBJECTIVE
  The post-operative complications and clinical course of pancreaticoduodenectomy (PD) largely depend on the pancreaticojejunostomy (PJ). Several methods of PJ are in clinical use. We analyzed the early results of binding pancreaticojejunostomy (BPJ), a technique reported by SY Peng.
  
  
  METHODS
  We retrospectively reviewed the clinical results of patients who received BPJ in Inha University Hospital from 2006 to 2011. 21 BPJs were performed with Peng's method. The definition of postoperative pancreatic fistula (PF) was a high amylase content (>3 times the upper normal serum value) of the drain fluid (of any measurable volume), at any time on or after the 3rd post-operative day. The pancreatic fistula was graded according to the International Study Group for Pancreatic Fistula (ISGPF) guidelines.
  
  
  RESULTS
  Of the 21 patients who received BPJ, 11 were male. The median age was 61.2 years. PD surgery included 4 cases of Whipple's procedures and 17 cases of pylorus-preserving PD. According to the post-operative course, 16 patients recovered well with no evidence of PF. A total of 5 patients (23.8%), including 3 grade A PFs and 2 grade C PFs, suffered from a pancreatic fistula. 3 patients with grade A PF recovered with conservative management.
  
  
  CONCLUSIONS
  The BPJ appears to be a relatively safe procedure based on this preliminary study, but further study is needed to validate its safety.
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Jin Min
authors.initials: JM
authors.lastname: Kim
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Jung Bum
authors.initials: JB
authors.lastname: Hong
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Woo Young
authors.initials: WY
authors.lastname: Shin
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Yun-Mee
authors.initials: YM
authors.lastname: Choe
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Gun Young
authors.initials: GY
authors.lastname: Lee
authors.affiliation: Department of Surgery, Inha University Hospital, Incheon, Korea.
authors.forename: Seung Ik
authors.initials: SI
authors.lastname: Ahn
keywords: Binding pancreaticojejunostomy; Pancreatic fistula; Pancreaticoduodenectomy