Pancreaticogastrostomy for reconstruction of pancreatic stump after pancreaticoduodenectomy for ampullary carcinoma

No mortality after 150 consecutive pancreatoduodenctomies with duct‐to‐mucosa pancreaticogastrostomy

“…Before 1995, we performed PG using the invagination method and frequently experienced intragastric bleeding. This complication was reported by several authors who used the invagination procedure [14,18,21,34]. According to these reports, bleeding commonly occurred from the cut edge of the invaginated pancreatic stump.…”

“…Roder et al [10] described that temporary external drainage of the pancreatic duct with a pancreatic tube significantly reduced the leakage rate of PJ in a prospective study. In contrast, several authors reported that there was a low incidence of pancreatic fistula even if PG was performed without external drainage of the pancreatic juice [14,16,18,21]. In the present series, we used a pancreaticogastric stent as an internal drain to the stomach for patients without external drainage of the pancreatic juice.…”

Duct-to-mucosa pancreaticogastrostomy is a safe anastomosis following pancreaticoduodenectomy

“…In a series of 125 patients who underwent pancreaticogastrostomy following pancreaticoduodenectomy reported by Kapur et al 3 , there were no pancreatic fistulas or leaks. The incidence of pancreatic fistula after pancreaticojejunostomy is 10-20 per cent 1 -3,21 .…”

Pancreatic fistula after pancreaticoduodenectomy: the impact of a standardized technique of pancreaticojejunostomy

“…The incidence of pancreatic fistula was similar for the PG (12.3%) and PJ (11.1%) groups. Furthermore, excellent results have been documented with both procedures with low fistula rates [16][17][18][19][20]. Thus, no universal opinion exists in world literature.…”