Pancreatogastrostomy After Pancreatoduodenectomy

Abstract

Pancreatoduodenectomy has almost a hundred years of history. After resection, the pancreatic stump requires an anastomosis with the digestive tract. There is ongoing discussion about the optimal standard of digestive tract reconstruction. Two major groups of pancreatic anastomosis are used: pancreatogastrostomy and pancreatojejunostomy, but after some randomized and several other documented series there is no agreement on the superiority one over another method. The important feature related to pancreatic anastomosis' complication rate is the number of procedures performed each year in a facility. This manuscript summarizes the experience of the Gdansk Surgical Department with pancreatogastrostomy.