Simple technique for pancreatogastrostomy and the histological findings of pancreatogastric anastomosis

The leakage of pancreatic juice is the most serious complication after pancreatoduodenectomy. In an attempt to lessen the incidence of this complication, we have developed a simple technique for the anastomosis of pancreatogastrostomy. Since March 14, 1995, we have already performed surgical procedu...

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Bibliographic Details
Published inArchives of surgery (Chicago. 1960) Vol. 132; no. 7; p. 785
Main Authors Yamamoto, J, Shimamura, Y, Nakahara, H, Koishi, Y, Kougo, M, Ohtani, H, Watanabe, H, Ishii, M, Ohmura, M
Format Journal Article
LanguageEnglish
Published United States 01.07.1997
Subjects
Adenocarcinoma - pathology
Adenocarcinoma - surgery
Aged
Anastomosis, Surgical - methods
Autopsy
Gastrostomy - methods
Humans
Male
Pancreas - surgery
Pancreatic Neoplasms - pathology
Pancreatic Neoplasms - surgery
Stomach - surgery
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Summary:The leakage of pancreatic juice is the most serious complication after pancreatoduodenectomy. In an attempt to lessen the incidence of this complication, we have developed a simple technique for the anastomosis of pancreatogastrostomy. Since March 14, 1995, we have already performed surgical procedures on 8 cases of pancreatogastrostomy using this technique and as yet have never experienced fatal complications. We report the autopsy findings of pancreatogastric anastomosis histologically. The specimen taken from the anastomosis reveals good mucosal continuity. This result suggests the importance of reliable sutures between the pancreatic parenchyma and the full thickness of the gastric wall for the anastomosis of pancreatogastrostomy.
ISSN:0004-0010
1538-3644
DOI:10.1001/archsurg.1997.01430310099024