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Pancreaticojejunostomy

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https://www.readbyqxmd.com/read/29671537/chronic-pancreatitis-diagnosis-and-treatment
#1
Kathleen Barry
Chronic pancreatitis is an irreversible and progressive disorder of the pancreas characterized by inflammation, fibrosis, and scarring. Exocrine and endocrine functions are lost, often leading to chronic pain. The etiology is multifactorial, although alcoholism is the most significant risk factor in adults. The average age at diagnosis is 35 to 55 years. If chronic pancreatitis is suspected, contrast-enhanced computed tomography is the best imaging modality for diagnosis. Computed tomography may be inconclusive in early stages of the disease, so other modalities such as magnetic resonance imaging, magnetic resonance cholangiopancreatography, or endoscopic ultrasonography with or without biopsy may be used...
March 15, 2018: American Family Physician
https://www.readbyqxmd.com/read/29587784/mesh-reinforced-pancreaticojejunostomy-versus-conventional-pancreaticojejunostomy-after-pancreaticoduodenectomy-a-retrospective-study-of-126-patients
#2
Xin Zhong, Xianfa Wang, Junhai Pan, Hepan Zhu, Lihu Gu, Zhaoqi Shi
BACKGROUND: Pancreatic fistula is a major cause of morbidity and mortality after pancreaticoduodenectomy. The aim of this study is to compare the safety and efficacy of a newly developed technique, namely mesh-reinforced pancreaticojejunostomy, in comparison with the conventional use of pancreaticojejunostomy after undergoing a pancreaticoduodenectomy. METHODS: Data was collected from regarding 126 consecutive patients, who underwent the mesh-reinforced pancreaticojejunostomy or conventional pancreaticojejunostomy, after standard pancreaticoduodenectomy by one group of surgeons, between the time period of 2005 and 2016...
March 27, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29575015/duct-to-mucosa-versus-dunking-techniques-of-pancreaticojejunostomy-after-pancreaticoduodenectomy-do-we-need-more-trials-a-systematic-review-and-meta-analysis-with-trial-sequential-analysis
#3
REVIEW
Ragini Kilambi, Anand Narayan Singh
BACKGROUND: Pancreaticojejunostomy (PJ is the most widely used reconstruction technique after pancreaticoduodenectomy. Despite several randomized trials, the ideal technique of pancreaticojejunostomy remains debatable. We planned a meta-analysis of randomized trials comparing the two most common techniques of PJ (duct-to-mucosa and dunking) to identify the best available evidence in the current literature. METHODS: We searched the Pubmed/Medline, Web of science, Science citation index, Google scholar and Cochrane Central Register of Controlled Trials electronic databases till October 2017 for all English language randomized trials comparing the two approaches...
March 25, 2018: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29573992/corrigendum-to-comparative-study-between-duct-to-mucosa-and-invagination-pancreaticojejunostomy-after-pancreaticoduodenectomy-a-prospective-randomized-study-international-journal-of-surgery-16-2015-1-6
#4
Ayman El Nakeeb, Mohamed El Hemaly, Waleed Askr, Mohamed Abd Ellatif, Hosam Hamed, Ahmed Elghawalby, Mohamed Attia, Tallat Abdallah, Mohamed Abd ElWahab
No abstract text is available yet for this article.
March 21, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29572642/-pancreaticojejunostomy-duct-to-mucosa-anastomosis-or-invagination-anastomosis
#5
M Schrempf, M Anthuber
No abstract text is available yet for this article.
March 23, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29567046/an-end-to-side-suspender-pancreaticojejunostomy-a-new-invagination-pancreaticojejunostomy
#6
Bin Li, Chang Xu, Zhi-Quan Qiu, Chen Liu, Bin Yi, Xiang-Ji Luo, Xiao-Qing Jiang
BACKGROUND: Postoperative pancreatic fistula (POPF) is a severe complication of the pancreaticoduodenectomy (PD). Recently, we introduced a method of suspender pancreaticojejunostomy (PJ) to the PD. In this study, we retrospectively analyzed various risk factors for complications after PD. We also introduced and assessed the suspender PJ to demonstrate its advantages. METHODS: Data from 335 patients with various periampullary lesions, who underwent the Whipple procedure (classic Whipple procedure or pylorus-preserving) PD by either traditional end-to-side invagination PJ or suspender PJ, were analyzed...
February 19, 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29520186/prediction-of-late-postoperative-hemorrhage-after-whipple-procedure-using-computed-tomography-performed-during-early-postoperative-period
#7
Ga Jin Han, Suk Kim, Nam Kyung Lee, Chang Won Kim, Hyeong Il Seo, Hyun Sung Kim, Tae Un Kim
Objective: Postpancreatectomy hemorrhage (PPH) is an uncommon but serious complication of Whipple surgery. To evaluate the radiologic features associated with late PPH at the first postoperative follow up CT, before bleeding. Materials and Methods: To evaluate the radiological features associated with late PPH at the first follow-up CT, two radiologists retrospectively reviewed the initial postoperative follow-up CT images of 151 patients, who had undergone Whipple surgery...
March 2018: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/29462737/pancreas-preserving-management-of-grade-c-pancreatic-fistula-and-a-novel-bridging-technique-for-repeat-pancreaticojejunostomy-an-observational-study
#8
Tao Ma, Xueli Bai, Wen Chen, Guogang Li, Mengyi Lao, Tingbo Liang
PURPOSE: Optimal surgical strategy for grade-C postoperative pancreatic fistula (POPF) after pancreaticoduodenectomy (PD) is not justified. External wirsungostomy is feasible. However, the subsequent repeat pancreaticojejunostomy (PJ) is challenging. This study aims to introduce our experience of external wirsungostomy for grade-C POPF and a novel technique to do the repeat PJ (re-PJ). MATERIALS AND METHODS: From January 1, 2012 to December 31, 2016, all consecutive patients who underwent pancreaticoduodenectomy (PD) with PJ were identified...
February 17, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29428099/strategies-for-pancreatic-anastomosis-after-pancreaticoduodenectomy-what-really-matters
#9
REVIEW
Jin Xu, Shun-Rong Ji, Bo Zhang, Quan-Xing Ni, Xian-Jun Yu
BACKGROUND: The postoperative pancreatic fistula rate remains approximately 10-20% even in institutions treating a high-volume of pancreatic cases. The best strategy to restore the continuity between the pancreatic remnant and the digestive tract is still in debate. DATA SOURCES: Studies were identified by searching PubMed for studies published between January 1934 (when pancreaticogastrostomy was technically feasible) and December 2016. The following search terms were used: "duct-to-mucosa", "invagination", "pancreaticojejunostomy", "pancreaticogastrostomy," and "pancreaticoduodenectomy"...
February 2018: Hepatobiliary & Pancreatic Diseases International: HBPD INT
https://www.readbyqxmd.com/read/29367037/central-pancreatectomy-with-external-drainage-of-monolayer-pancreaticojejunostomy-for-prevention-of-postoperative-pancreatic-fistula-a-retrospective-cohort-study
#10
Feng Yang, Chen Jin, Yang Di, Hang He, Sijie Hao, Lie Yao, Ji Li, Deliang Fu
OBJECTIVE: Postoperative pancreatic fistula (POPF) remains a common problem and leading cause of morbidity and mortality after central pancreatectomy (CP). The aim of this study was to present a technique of external drainage of monolayer pancreaticojejunostomy for prevention of POPF. METHODS: Patients received elective CP with external drainage of monolayer pancreaticojejunostomy between January 2010 and December 2016 were retrospectively analyzed. The occurrence and severity of POPF, overall complications, reoperation rate, in-hospital mortality, and length of postoperative hospital stay were measured...
March 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29288116/a-study-on-outcome-of-binding-pancreaticogastrostomy-following-pancreaticoduodenectomy-a-prospective-observational-study
#11
Dronacharya Routh, Nishant Pathak, C S Naidu, A K Singh, P P Rao, Priya Ranjan
INTRODUCTION: The type of anastomosis of the pancreas following pancreaticoduodenectomy is often attributed to the reason for pancreatic leak. Results of various randomized trials comparing pancreaticojejunostomy and pancreaticogastrostomy are conflicting one suggesting advantage over the other and vice versa. In this study we intend to critically analyze a novel technique of binding pancreaticogastrostomy following pancreaticoduodenectomy. AIMS AND OBJECTIVES: The aim of this study is to see the outcome of binding pancreaticogastrostomy by evaluating the technical aspects of binding PG and study the incidence of post-operative complications...
February 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29247370/trans-gastric-pancreaticogastrostomy-reconstruction-after-pylorus-preserving-robotic-whipple-a-proposal-for-a-standardized-technique
#12
Pier C Giulianotti, Raquel Gonzalez-Heredia, Sofia Esposito, Mario Masrur, Antonio Gangemi, Francesco M Bianco
BACKGROUND: A number of technical improvements regarding the pancreatic anastomosis have decreased the morbidity and mortality after pancreaticoduodenectomy. However, postoperative pancreatic fistula (POPF) remains is the most feared complication, and the ideal technique for pancreatic reconstruction is undetermined. MATERIALS AND METHODS: This study is a retrospective review of a prospectively maintained database. Data were collected from all consecutive robot-assisted pancreaticoduodenectomies (RAPD), performed by a single surgeon, at the University of Illinois Hospital & Health Sciences System, between September 2007 and January 2016...
April 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29239345/extramucosal-pancreaticojejunostomy-at-laparoscopic-pancreaticoduodenectomy
#13
Servet Karagul, Cuneyt Kayaalp, Fatih Sumer, Mehmet Ali Yagci
While the 'best pancreatic anastomosis technique' debate is going during Whipple procedure, the laparoscopic pancreaticoduodenectomy lately began to appear more and more often in the medical literature. All the popular anastomosis techniques used in open pancreas surgery are being experienced in laparoscopic pancreaticoduodenectomy. However, when they were adapted to laparoscopy, their implementation was not technically easy, and assistance of robotic surgery was sometimes required at the pancreatic anastomosis stage of the procedure...
January 2018: Journal of Minimal Access Surgery
https://www.readbyqxmd.com/read/29204744/eus-guided-pancreatic-duct-puncture-for-difficult-cannulation-of-stenosed-pancreaticojejunostomy
#14
Eugenia N Uche-Anya, Christopher D Packey, Ali S Khan, Amrita Sethi
No abstract text is available yet for this article.
January 2018: Digestive Diseases and Sciences
https://www.readbyqxmd.com/read/29184877/effect-of-end-to-side-inverted-mattress-pancreaticojejunostomy-following-central-pancreatectomy-on-the-prevention-of-pancreatic-fistula
#15
Young Yeon Choi, Sang Geol Kim, Yun Jin Hwang, Hyung Jun Kwon
Purpose: Central pancreatectomy (CP) may be indicated for the treatment of benign or low-grade malignant tumor in the neck and proximal body of the pancreas. Pancreatic fistula is one of the most common complications after CP. In this study, we suggested an inverted mattress pancreaticojejunostomy (IM-PJ) technique to decrease the risk of pancreatic fistula. Methods: Between 2010 and 2015, CP was performed with IM-PJ for 10 consecutive patients with a benign or low-grade malignant tumor in the neck and proximal body of the pancreas...
November 2017: Annals of Surgical Treatment and Research
https://www.readbyqxmd.com/read/29156887/technical-aspects-of-pancreaticoduodenectomy-and-their-outcomes
#16
Katherine Giuliano, Aslam Ejaz, Jin He
Pancreatic cancer is the fourth leading cause of cancer-related death in the Unites States and is rising in incidence. For the 15-25% of patients who do not have either metastatic or locally advanced disease, surgical resection with pancreaticoduodenectomy is the standard of care and results in improved 5-year survival of 15-25%. While mortality at high-volume centers is less than 5%, morbidity remains high at approximately 30-45%. This paper reviews technical aspects of pancreaticoduodenectomy and their outcomes...
December 2017: Chinese Clinical Oncology
https://www.readbyqxmd.com/read/29151507/successful-endoscopic-treatment-of-severe-pancreaticojejunostomy-strictures-by-puncturing-the-anastomotic-site-with-an-eus-guided-guidewire-a-report-of-two-cases
#17
Tatsuhide Nabeshima, Atsushi Kanno, Atsushi Masamune, Hiroki Hayashi, Seiji Hongo, Naoki Yoshida, Eriko Nakano, Shin Miura, Shin Hamada, Kazuhiro Kikuta, Kiyoshi Kume, Morihisa Hirota, Michiaki Unno, Tooru Shimosegawa
Pancreaticojejunostomy stricture (PJS) is a late complication of pancreaticoduodenectomy. The endoscopic treatment of PJS is very challenging due to the difficulty of locating the small anastomotic site and passing the stricture using a guidewire. We herein report two cases of severe PJS. These patients could not be treated using only double-balloon endoscopy or endoscopic ultrasound-guided puncture of the main pancreatic duct because of severe stenosis at the anastomotic site. However, we could treat them by the rendezvous technique using the rigid part of the guidewire to penetrate PJS...
November 20, 2017: Internal Medicine
https://www.readbyqxmd.com/read/29095290/the-pancreatic-juice-length-in-the-stent-tube-as-the-predicting-factor-of-clinical-relevant-postoperative-pancreatic-fistula-after-pancreaticoduodenectomy
#18
Hangyan Wang, Dianrong Xiu, Ming Tao
Several risk factors for pancreatic fistula had been widely reported, but there was no research focusing on the exocrine output of remnant gland.During the study period of January 2015 to September 2016, 82 patients accepted pancreaticoduodenectomy (PD, end-to-end dunking pancreaticojejunostomy with internal stent tube). All the data were collected, including preoperative medical status, operative course, final pathology, gland texture, pancreatic duct diameter, size of the stent, length of pancreatic juice in the stent tube, width of the pancreatic stump, diameter of the jejunum and the status of postoperative pancreatic fistula (POPF)...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29044532/pancreaticojejunostomy-does-the-technique-matter-a-randomized-trial
#19
Anand N Singh, Sujoy Pal, Vivek Mangla, Ragini Kilambi, Joseph George, Nihar R Dash, Tushar K Chattopadhyay, Peush Sahni
BACKGROUND: Despite a large number of studies, the ideal technique of pancreaticojejunostomy (PJ) after pancreaticoduodenectomy (PD) remains debatable. We compared the two most common techniques of PJ (duct-to-mucosa and dunking) in a randomized trial. METHODS: This open-label randomized trial was done at a tertiary care center from January 2009 to October 2015. Patients with resectable periampullary tumours with a pancreatic duct diameter ≥2 mm, requiring PD were randomly assigned to one of the two techniques using computer generated random numbers...
October 16, 2017: Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29019567/management-of-pancreaticopleural-fistulas-secondary-to-chronic-pancreatitis
#20
Everton Cazzo, Márcio Apodaca-Rueda, Martinho Antonio Gestic, Fábio Henrique Mendonça Chaim, Helena Paes de Almeida de Saito, Murillo Pimentel Utrini, Francisco Callejas-Neto, Elinton Adami Chaim
INTRODUCTION: Pancreaticopleural fistula is a rare complication of chronic pancreatitis. OBJECTIVE: To describe pancreaticopleural fistula due to chronic pancreatitis and perform an extensive review of literature on this topic. METHODS: Comprehensive narrative review through online research on the databases Medline and Lilacs for articles published over the last 20 years. There were 22 case reports and four case series selected. RESULTS: The main indication for surgical treatment is the failure of clinical and/or endoscopic treatments...
July 2017: Arquivos Brasileiros de Cirurgia Digestiva: ABCD, Brazilian Archives of Digestive Surgery
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