The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures

Demirjian, Aram N.; Kent, Tara S.; Callery, Mark P.; Vollmer, Charles M.

doi:10.1111/j.1477-2574.2010.00214.x

Cited by 54 publications

(51 citation statements)

References 26 publications

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“…Scarce data possibly due to poor longevity associated with patients undergoing the procedure for malignancy [7]. However, with PD being increasingly performed for even benign or low-grade tumors, a larger number of patients with this long-term complication may be studied [4].…”

Section: Discussionmentioning

confidence: 99%

“…Following pancreatoduodenectomy, stenosis of a pancreaticogastrostomy may not occur until many years later. In a significant percentage of patients it is without clinical signs [7,8]. It may be discovered only after systematic explorations of patients following pancreaticogastrostomy or pancreaticojejunostomy (occurrence in 60% and 29% of cases respectively) [8].…”

Section: Discussionmentioning

confidence: 99%

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Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

Vaishnav¹,

Lakhia²

2017

Pancreat Disord Ther

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There is a large body of literature that describes the short-term complications (e.g., pancreatic or biliary anastomotic leaks) that occur after PD, but little has been published regarding long-term anastomotic complications. Stenosis of the anastomosis is often asymptomatic but symptomatic and painful presentations are difficult to treat, and the optimal treatment is not currently defined. The aim of this work is to report case of pancreatojejunostomy stenosis. The Pancreatic enteric anastomosis stenosis was diagnosed following presentation with pancreatitis that developed following pancreatoduodenectomy. The patient was treated surgically by fashioning side to side pancreatogastrostomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

Vaishnav¹,

Lakhia²

2017

Pancreat Disord Ther

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“…How common are ERCP procedures needed after PD is not well understood. According to a few reports, the incidence of bilioenteric anastomotic stricture is estimated to be 2.5-8 % and pancreaticoenteric anastomotic stricture to be 2-5 % [3][4][5]. With expanded indications and improved patient survival, late post-PD complaints are more frequently encountered.…”

Section: Introductionmentioning

confidence: 97%

“…Biliary and pancreatic complications of this surgery, such as obstructive jaundice and recurrent pancreatitis, & Byung Kyu Park mintpbk@naver.com 1 may develop due to bilioenteric or pancreaticoenteric anastomotic stricture or tumor recurrence [3][4][5]. How common are ERCP procedures needed after PD is not well understood.…”

Section: Introductionmentioning

confidence: 98%

Endoscopic Retrograde Cholangiopancreatography in Patients with Previous Pancreaticoduodenectomy: A Single-Center Experience

et al. 2015

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“…Recurrent cases that require further treatment occur in about 20%–25% of cases. The incidence of this complication showed no significant difference between patients with benign or those with malignant disease [5]. …”

Section: Introductionmentioning

confidence: 99%

Endoscopic Retrograde Cholangiopancreatography in Bilioenteric Anastomosis

Park

2016

Clin Endosc

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For diagnosis and treatment of pancreatobiliary diseases, endoscopic retrograde cholangiopancreatography (ERCP) is useful method nowadays and its technically success rate is usually in about 90%-95% of patients with normal gastric and pancreaticobiliary anatomy. Recently ERCP is significantly challenging after intestinal reconstruction, particularly in patients who have undergone pancreaticoduodenectomy (PD, classic Whipple’s operation) or pylorus-preserving pancreatoduodenectomy (PPPD) with reconstruction. PD and PPPD relate to numerous techniques have been presented for reconstruction of the digestive tract and pancreaticobiliary tree during the resection bilioenteric stricture commonly occurs later in the postoperative course and developed in 5-year cumulative probability of biliary stricture rate of 8.2% and pancreaticoenteric stricture of 4.6%. This complication was no difference in incidence between patients with benign or malignant disease. In PD or PPPD with reconstruction, short pancreatobiliary limb with biliojejunal anastomosis site is made usually, modestly success rate of intubation to blind loop and cannulation with conventional endoscope. However, in combined Reux-en-Y anastomosis, longer pancreatobiliary limb and additional Reux limb are obstacle to success intubation and cannulation by using conventional endoscope. In this situation, new designed enetroscope with dedicated accessories is efficient.

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The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures

Cited by 54 publications

References 26 publications

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

Lateral Pancreatogastrostomy for Stenotic Pancreatojejunostomy After Pancreatoduodenectomy: A Case Report

Endoscopic Retrograde Cholangiopancreatography in Patients with Previous Pancreaticoduodenectomy: A Single-Center Experience

Endoscopic Retrograde Cholangiopancreatography in Bilioenteric Anastomosis

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