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https://www.readbyqxmd.com/read/28411019/comparison-of-surgical-outcomes-of-three-different-stump-closure-techniques-during-distal-pancreatectomy
#1
Ilhan Karabicak, Sohei Satoi, Hiroaki Yanagimoto, Tomohisa Yamamoto, So Yamaki, Hisashi Kosaka, Satoshi Hirooka, Masaya Kotsuka, Taku Michiura, Kentaro Inoue, Yoichi Matsui, Masanori Kon
BACKGROUND: To find the appropriate method of pancreatic transection during distal pancreatectomy (DP), we retrospectively compared post-operative complications including postoperative pancreatic fistula (POPF) according to the different types of pancreatic transection. METHODS: This study included 169 patients who underwent pancreatic transection using an ultrasonic activated device (USAD) with transfixion of the pancreatic duct (DP-TF group, n = 89), USAD followed by pancreaticogastrostomy (DP-PG group, n = 44), and a reinforced linear tristapler (DP-ST, n = 36)...
April 8, 2017: Pancreatology: Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]
https://www.readbyqxmd.com/read/28289754/-erratum-to-pancreaticogastrostomy-when-and-how
#2
D Tittelbach-Helmrich, T Keck, U F Wellner
No abstract text is available yet for this article.
March 13, 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/28286020/a-modified-technique-of-pancreaticogastrostomy-with-short-internal-stent-a-single-surgeon-s-experience
#3
Pei Yi Yap, Jung Shan Hwang, Jan Jin Bong
BACKGROUND/OBJECTIVE: Postoperative pancreatic fistula (POPF) remains an important cause of morbidity and mortality after pancreaticoduodenectomy. Pancreaticogastrostomy (PG) as a reconstruction method after pancreaticoduodenectomy is a safe and optional surgical technique in decreasing the risk of POPF. In this study, a retrospective analysis was carried out to evaluate a new modification of PG technique that uses a two-layer anastomoses with an internal stent. METHODS: Forty-seven patients underwent this newly modified PG technique between February 2012 and August 2016...
March 10, 2017: Asian Journal of Surgery
https://www.readbyqxmd.com/read/28192806/spyglass-ds-guided-conversion-of-transmural-pancreaticogastrostomy-drainage-to-transpapillary-drainage-by-rendezvous-via-a-lumen-apposing-metal-stent
#4
Joan B Gornals, Claudia Consiglieri, Susana Redondo
No abstract text is available yet for this article.
February 2017: Endoscopy
https://www.readbyqxmd.com/read/28112814/randomized-clinical-trial-of-duct-to-mucosa-pancreaticogastrostomy-versus-handsewn-closure-after-distal-pancreatectomy
#5
K Uemura, S Satoi, F Motoi, M Kwon, M Unno, Y Murakami
BACKGROUND: Postoperative pancreatic fistula (POPF) remains a major cause of morbidity after distal pancreatectomy. The aim of this study was to investigate whether duct-to-mucosa pancreaticogastrostomy of the pancreatic stump decreased clinical POPF formation compared with handsewn closure after distal pancreatectomy. METHODS: This multicentre RCT was performed between April 2012 and June 2014. Patients undergoing distal pancreatectomy were assigned randomly to either duct-to-mucosa pancreaticogastrostomy or handsewn closure...
January 23, 2017: British Journal of Surgery
https://www.readbyqxmd.com/read/28095614/over-the-scope-clip-closure-for-treatment-of-post-pancreaticogastrostomy-occurring-pancreatic-fistula-a-case-series
#6
Santi Mangiafico, Angelo Caruso, Raffaele Manta, Giuseppe Grande, Helga Bertani, Vincenzo Mirante, Flavia Pigò, Luigi Magnano, Mauro Manno, Rita Conigliaro
BACKGROUND AND AIM: The over-the-scope clip (OTSC) system is a recently developed endoscopic device. In the last few years it has been successfully used for severe bleeding or deep wall lesions, or perforations of the GI tract. We hereby report a series of patients with post pancreaticogastrostomy occuring pancreatic fistula in whom OTSCs were used as endoscopic treatment. METHODS: We prospectively collected data from January 2012 to July 2015 about cases of postoperative pancreatic fistula...
January 17, 2017: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/28032574/a-novel-technique-of-inserting-pancreaticogastrostomy-with-duct-to-mucosa-anastomosis-can-potentially-reduce-postoperative-pancreatic-fistula
#7
Cai-de Lu, Jing Huang, Yong-Fei Hua, Ammar Asrar Javed, Jin He, Sheng-Dong Wu, Wei-Ming Yu, Chang-Jiang Lu
BACKGROUND: We describe our novel technique of inserting pancreaticogastrostomy (IPG) after pancreaticoduodenectomy. In our technique, the seromuscular and mucosal layers of the posterior gastric wall are separated to create a mucosal pouch. A duct-to-mucosa anastomosis is performed through a small incision in the mucosal layer. An inner suture at the seromuscular-mucosal margin incorporating the pancreatic parenchyma and an outer suture on the exterior margin of the seromuscular layer to wrap the pouch around the pancreas are placed to complete the IPG...
March 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28027816/pancreatic-anastomosis-after-pancreatoduodenectomy-a-position-statement-by-the-international-study-group-of-pancreatic-surgery-isgps
#8
REVIEW
Shailesh V Shrikhande, Masillamany Sivasanker, Charles M Vollmer, Helmut Friess, Marc G Besselink, Abe Fingerhut, Charles J Yeo, Carlos Fernandez-delCastillo, Christos Dervenis, Christoper Halloran, Dirk J Gouma, Dejan Radenkovic, Horacio J Asbun, John P Neoptolemos, Jakob R Izbicki, Keith D Lillemoe, Kevin C Conlon, Laureano Fernandez-Cruz, Marco Montorsi, Max Bockhorn, Mustapha Adham, Richard Charnley, Ross Carter, Thilo Hackert, Werner Hartwig, Yi Miao, Michael Sarr, Claudio Bassi, Markus W Büchler
BACKGROUND: Clinically relevant postoperative pancreatic fistula (grades B and C of the ISGPS definition) remains the most troublesome complication after pancreatoduodenectomy. The approach to management of the pancreatic remnant via some form of pancreatico-enteric anastomosis determines the incidence and severity of clinically relevant postoperative pancreatic fistula. Despite numerous trials comparing diverse pancreatico-enteric anastomosis techniques and other adjunctive strategies (pancreatic duct stenting, somatostatin analogues, etc), currently, there is no clear consensus regarding the ideal method of pancreatico-enteric anastomosis...
December 24, 2016: Surgery
https://www.readbyqxmd.com/read/27922838/reply-to-half-the-truth-is-often-a-great-lie-over-a-hundred-years-of-controversy-on-pancreatic-fistula-between-pancreaticogastrostomy-and-pancreaticojejunostomy-after-pancreaticoduodenectomy
#9
https://www.readbyqxmd.com/read/27893533/half-the-truth-is-often-a-great-lie-over-a-hundred-years-of-controversy-on-pancreatic-fistula-between-pancreaticogastrostomy-and-pancreaticojejunostomy-after-pancreaticoduodenectomy
#10
Zi Yin, Haosheng Jin, Zhixiang Jian
No abstract text is available yet for this article.
November 23, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27844112/-pancreaticogastrostomy-when%C3%A2-and%C3%A2-how
#11
D Tittelbach-Helmrich, T Keck, U F Wellner
BACKGROUND: Pancreaticojejunostomy and pancreaticogastrostomy are the two techniques for pancreatic anastomosis that are widely established for the reconstruction after pancreaticoduodenectomy. Pancreaticogastrostomy is the most recent and to date less frequently performed method, the history, techniques and indications of which are presented. METHOD: Review of the literature and current evidence. RESULTS: Current evidence from randomized controlled trials and meta-analyses does not demonstrate significant differences in complication rates or pancreatic function after pancreaticogastrostomy versus pancreaticojejunostomy...
January 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27778058/-closure-of-pancreas-stump-after-distal-and-segmental-resection-suture-stapler-coverage-or-anastomosis
#12
C W Michalski, P Tramelli, M W Büchler, T Hackert
Postoperative pancreatic fistulas represent the most frequent complication after distal and segmental pancreatectomy and occur with a frequency of up to 50 %. There are many technical variations of pancreatic stump treatment for reduction of fistula rates after distal resection. Most of these techniques have only been analyzed in retrospective studies and the evidence for or against a specific technique is low. Several retrospective trials have been conducted with good results to compare suturing with stapled closure of the remnant and to assess the effect of a vascularized falciform ligament patch in reducing postoperative pancreatic fistula; however, in a recently published randomized trial, which analyzed closure of the remnant with a pancreaticojejunostomy compared to standard closure, these results could not be confirmed...
January 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27768898/pancreaticogastrostomy-has-advantages-over-pancreaticojejunostomy-on-pancreatic-fistula-after-pancreaticoduodenectomy-a-meta-analysis-of-randomized-controlled-trials
#13
REVIEW
Han Qin, Lin Luo, Zexin Zhu, Jiwei Huang
OBJECTIVE: To examine whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ) is the better reconstructive method to reduce postoperative complications, especially pancreatic fistula (PF), after pancreaticoduodenectomy (PD). BACKGROUND: PF is a severe complication after PD. The best reconstructive method to reduce occurrence of PF is controversial. We carried out this meta-analysis to compare PG with PJ. METHODS: A systematic review was conducted on PubMed, EMBASE, and Cochrane Library published up to October 2015 to identify studies comparing PG with PJ...
December 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27726974/pancreatic-exocrine-insufficiency-after-pancreaticoduodenectomy-is-more-prevalent-with-pancreaticogastrostomy-than-with-pancreaticojejunostomy-a-retrospective-multicentre-observational-cohort-study
#14
Geert Roeyen, Miet Jansen, Laure Ruyssinck, Thiery Chapelle, Aude Vanlander, Bart Bracke, Vera Hartman, Dirk Ysebaert, Frederik Berrevoet
OBJECTIVE: Recently, pancreaticogastrostomy (PG) has attracted renewed interest as a reconstruction technique after pancreaticoduodenectomy (PD), as it may imply a lower risk of clinical pancreatic fistula than reconstruction by pancreaticojejunostomy (PJ). We hypothesise that pancreatic exocrine insufficiency (PEI) is more common during clinical follow-up after PG than it is after PJ. RESEARCH DESIGN AND METHODS: This study compares the prevalence of PEI in patients undergoing PD for malignancy with reconstruction by PG versus reconstruction by PJ...
December 2016: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/27509473/endoscopic-ultrasound-guided-pancreaticogastrostomy-using-a-lumen-apposing-metal-stent-plus-a-double-pigtail-plastic-stent
#15
Joan B Gornals, Claudia Consiglieri, Francesc Vida, Carme Loras
No abstract text is available yet for this article.
2016: Endoscopy
https://www.readbyqxmd.com/read/27374474/robotic-middle-pancreatectomy-with-the-double-pursestring-invaginated-pancreaticogastrostomy-with-video
#16
P Addeo, S Langella, L Arru, V De Blasi, E Rosso, P Bachellier
No abstract text is available yet for this article.
December 2016: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/27323589/whipple-procedure-pancreaticogastrostomy-versus-pancreaticojejunostomy-a-literature-review
#17
REVIEW
Sameer Rehman, Affan Umer, Michael Kuncewitch, Ernesto Molmenti
Pancreatic cancer is one of the leading causes of oncologic morbidity and mortality worldwide. The definitive surgical management for pancreatic cancer includes pancreaticoduodenectomy with either anastomosis to, or implantation of remnant pancreas to the stomach (pancreaticogastrostomy) or the jejunum (pancreaticojejunostomy). Operative morbidity and mortality following pancreaticoduodenectomy frequently results from complications associated with a pancreaticojejunal anastomotic leak. Pancreaticogastrostomy is an alternative method of restoring pancreatic continuity with the gut, which has been employed by a number of institutions showing some benefit in operative mortality...
January 2016: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/27275466/laparoscopic-long-sleeve-pancreaticogastrostomy-lpg-a-novel-pancreatic-anastomosis-following-central-pancreatectomy
#18
Long R Jiao, Tamara M H Gall, Mikael H Sodergren, Ruifang Fan
BACKGROUND: Central pancreatectomy (CP) is preferred to distal pancreatectomy (DP) for the excision of benign tumours at the neck or body of the pancreas, in order to preserve pancreatic function and the spleen. However, the pancreaticoenterostomy is technically difficult to perform laparoscopically and the postoperative pancreatic fistula (POPF) rate is high. METHODS: A novel laparoscopic reconstruction of the pancreatic stump during CP is described, the laparoscopic long sleeve pancreaticogastrostomy (LPG)...
June 2016: Hepatobiliary Surgery and Nutrition
https://www.readbyqxmd.com/read/27229113/delayed-gastric-emptying-after-pancreaticoduodenectomy
#19
REVIEW
Mena M Hanna, Rahul Gadde, Casey J Allen, Jonathan P Meizoso, Danny Sleeman, Alan S Livingstone, Nipun Merchant, Danny Yakoub
BACKGROUND: Delayed gastric emptying (DGE) remains an unsolved complication after pancreaticoduodenectomy (PD) with conflicting reports of its cause. We aimed to compare the effect of surgical techniques involving the stomach in PD in lowering the risk of postoperative DGE. METHODS: Online search and review of key bibliographies in PubMed, Medline, Embase, Scopus, Cochrane, and Google Scholar was performed. Studies comparing PD surgical techniques were identified...
May 15, 2016: Journal of Surgical Research
https://www.readbyqxmd.com/read/27102322/pancreaticojejunostomy-is-comparable-to-pancreaticogastrostomy-after-pancreaticoduodenectomy-an-updated-meta-analysis-of-randomized-controlled-trials
#20
REVIEW
Stefano Crippa, Roberto Cirocchi, Justus Randolph, Stefano Partelli, Giulio Belfiori, Alessandra Piccioli, Amilcare Parisi, Massimo Falconi
PURPOSE: To perform an up-to-date meta-analysis of randomized controlled trials (RCTs) comparing pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG) in order to determine the safer anastomotic technique. Compared to existing meta-analysis, new RCTs were evaluated and subgroup analyses of different anastomotic techniques were carried out. METHODS: We conducted a bibliographic research using the National Library of Medicine's PubMed database from January 1990 to July 2015 of RCTs...
June 2016: Langenbeck's Archives of Surgery
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