A comparative study on the complications of conventional and end-to-side inserting pancreatojejunostomy after pancreaticoduodenectomy

Hashimoto, Daisuke; Chikamoto, Akira; Harimoto, Norifumi; Ikegami, Toru; Uchiyama, Hideaki; Yoshizumi, Tomoharu; Baba, Hideo; Maehara, Yoshihiko

doi:10.1007/s00595-016-1364-y

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…Variables, including pancreatic CT parameters and RPV, were compared between the two groups according to reconstruction with PG or PJ after PD. Reconstruction methods were decided according to the attending surgeon's clinical judgement 16‐20 . However, the reconstruction method varied over time: PG was mainly performed until 2011, and the number of PJ was increased from 2012.…”

Section: Methodsmentioning

confidence: 99%

“…Reconstruction methods were decided according to the attending surgeon's clinical judgement. 16 , 17 , 18 , 19 , 20 However, the reconstruction method varied over time: PG was mainly performed until 2011, and the number of PJ was increased from 2012. Tumor stages were classified according to the TNM staging system of the International Union Against Cancer (UICC) version 7.…”

Section: Methodsmentioning

confidence: 99%

“…Reconstruction methods were decided according to the attending surgeon's clinical judgement. [16][17][18][19][20] However, the reconstruction method varied over time: PG was mainly performed until 2011, and the number of PJ was increased from 2012.…”

Section: Methodsmentioning

confidence: 99%

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Clinical impact of atrophic changes in remnant pancreas on the development of nonalcoholic fatty liver disease after pancreaticoduodenectomy

Yamamura

Yamashita

Yamao

et al. 2022

Annals of Gastroent Surgery

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Aim The aim of this study was to evaluate risk factors for nonalcoholic fatty liver disease (NAFLD) after pancreaticoduodenectomy (PD), with a special focus on remnant pancreatic volume (RPV) as assessed using computed tomography (CT). Methods From February 2004 to June 2017, 101 patients who underwent PD in our institution were enrolled. We defined a CT attenuation value of less than 40 HU as hepatic steatosis and measured RPV at 7 days, 3 months, and 1 year after PD using the SYNAPSE VINCENT system. The incidence of NAFLD and RPV were compared between the two groups according to reconstruction with pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ). Results The incidence of NAFLD at 3 months after PD was 39.6% (40/101). The RPV ratio (RPV at 3 months or 1 year divided by RPV at 7 days after PD) at both 3 months and 1 year was significantly smaller in the PG group than in the PJ group (59% vs 73%, P < .001 and 53% vs 67% P < .01, respectively). A positive correlation between the RPV ratio and liver CT value at 3 months was found. The multivariate analysis identified three independent risk factors for NAFLD: female sex (odds ratio [OR] 8.16, 95% confidence interval [95% CI] 2.27‐35.9, P < .001), PG reconstruction (OR 3.87, 95% CI 1.04‐15.6, P = .04), and RPV ratio ≤60% (OR 3.44, 95% CI 1.06‐11.8, P = .001). Conclusion Atrophic change in the remnant pancreas is significantly associated with the development of NAFLD, and PJ reconstruction may be superior to PG from the viewpoint of NAFLD development.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Clinical impact of atrophic changes in remnant pancreas on the development of nonalcoholic fatty liver disease after pancreaticoduodenectomy

Yamamura

Yamashita

Yamao

et al. 2022

Annals of Gastroent Surgery

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“…3,4 Postoperative pancreatic fistula (POPF) is the most common complication after pancreatectomy, and is associated with prolonged hospitalization and mortality. 5…”

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Validation of the triple‐checked criteria for drain management after pancreatectomy

Hashimoto

Satoi

Yamamoto

et al. 2021

J Hepato Biliary Pancreat

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Improvements in surgical procedures and perioperative management have reduced postoperative mortality rates after pancreatectomy to <5% in high-volume centers. 1,2 However, the incidence of postoperative complications remains high, ranging from 30% to 40%. 3,4 Postoperative pancreatic fistula (POPF) is the most common complication after pancreatectomy, and is associated with prolonged hospitalization and mortality. 5

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Number of acinar cells at the pancreatic stump predicts pancreatic fistula after pancreaticoduodenectomy

et al. 2018

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A comparative study on the complications of conventional and end-to-side inserting pancreatojejunostomy after pancreaticoduodenectomy

Abstract: The conventional pancreaticojejunostomy is safer than the end-to-side inserting pancreaticojejunostomy, as the latter is associated with a risk of severe complications. Improvements in pancreatico-digestive anastomosis techniques are required.

Cited by 5 publications

References 22 publications

Clinical impact of atrophic changes in remnant pancreas on the development of nonalcoholic fatty liver disease after pancreaticoduodenectomy

Clinical impact of atrophic changes in remnant pancreas on the development of nonalcoholic fatty liver disease after pancreaticoduodenectomy

Validation of the triple‐checked criteria for drain management after pancreatectomy

Number of acinar cells at the pancreatic stump predicts pancreatic fistula after pancreaticoduodenectomy

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