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Pancreaticojejunostomy

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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
#1
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/27849671/randomized-controlled-trial-of-pancreaticojejunostomy-versus-stapler-closure-of-the-pancreatic-stump-during-distal-pancreatectomy-to-reduce-pancreatic-fistula
#2
Ragini Kilambi, Anand Narayan Singh
No abstract text is available yet for this article.
November 15, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27849119/robotics-in-surgery-is-a-robot-necessary-for-what
#3
Sharona B Ross, Darrell Downs, Sabrina M Saeed, John K Dolce, Alexander S Rosemurgy
Every operation can be categorized along a spectrum from "most invasive" to "least invasive", based on the approach(es) through which it is commonly undertaken. Operations that are considered "most invasive" are characterized by "open" approaches with a relatively high degree of morbidity, while operations that are considered "least invasive" are undertaken with minimally invasive techniques and are associated with relatively improved patient outcomes, including faster recovery times and fewer complications...
November 16, 2016: Minerva Chirurgica
https://www.readbyqxmd.com/read/27844112/-pancreaticogastrostomy-when%C3%A2-and%C3%A2-how
#4
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...
November 14, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27826046/meta-analysis-of-invagination-and-duct-to-mucosa-pancreaticojejunostomy-after-pancreaticoduodenectomy-an-update
#5
REVIEW
Xu Sun, Qi Zhang, JingYing Zhang, Yu Lou, QiHan Fu, XingLong Zhang, TingBo Liang, XueLi Bai
OBJECTIVE: Duct-to-mucosa and invagination are two commonly used techniques of pancreaticojejunostomy (PJ) after pancreaticoduodenectomy. Previously, we conducted a systematic review comparing the safety and efficacy of the two PJ techniques. Here, we added new evidence and updated our previous conclusion. METHODS: We systematically searched multiple databases and included randomized controlled trials (RCTs) comparing duct-to-mucosa and invagination techniques of PJ...
November 5, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27815641/the-impact-of-surgical-strategies-on-outcomes-for-pediatric-chronic-pancreatitis
#6
Maria G Sacco Casamassima, Seth D Goldstein, Jingyan Yang, Colin D Gause, Fizan Abdullah, Avner Meoded, Martin A Makary, Paul M Colombani
PURPOSE: To review our institutional experience in the surgical treatment of pediatric chronic pancreatitis (CP) and evaluate predictors of long-term pain relief. METHODS: Outcomes of patients ≤21 years surgically treated for CP in a single institution from 1995 to 2014 were evaluated. RESULTS: Twenty patients underwent surgery for CP at a median of 16.6 years (IQR 10.7-20.6 years). The most common etiology was pancreas divisum (n = 7; 35%)...
November 4, 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27811506/hepatopancreaticoduodenectomy-for-biliary-cancer-strategies-for-near-zero-operative-mortality-and-acceptable-long-term-outcome
#7
Taku Aoki, Yoshihiro Sakamoto, Yoshiharu Kohno, Nobuhisa Akamatsu, Junichi Kaneko, Yasuhiko Sugawara, Kiyoshi Hasegawa, Masatoshi Makuuchi, Norihiro Kokudo
OBJECTIVE: The purpose of this study was to evaluate the safety and efficacy of hepatopancreaticoduodenectomy (HPD) for patients with biliary cancer. BACKGROUND: HPD is thought to be the only curative treatment for widespread bile duct cancer and for some advanced cases of gallbladder cancer; however, HPD has not yet been accepted as a standard operative procedure because of concerns over morbidity and mortality. METHODS: Fifty-two patients undergoing HPD were retrospectively reviewed...
November 1, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27806779/-surgical-options-for-chronic-pancreatitis
#8
C L Tan, Emms Nuer, Aizezi Abulaiti, H Zhang, Y H Chen, X B Liu
Objective: Discuss the surgical options for the chronic pancreatitis on the basis of anatomical morphological changes. Methods: A retrospective review of chronic pancreatitis patients in Department of Pancreatic Surgery, West China Hospital, Sichuan University between January 2010 and December 2014 was performed. The data of medical records, image feature, surgical types and records of follow-up were collected. Total 295 patients including 275 male and 20 female aged from 14 to 74 years with median age of 51 years...
November 1, 2016: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/27804043/laparoscopic-adapted-blumgart-pancreaticojejunostomy-in-laparoscopic-pancreaticoduodenectomy
#9
Ignasi Poves, Olga Morató, Fernando Burdío, Luís Grande
BACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that is becoming increasingly popular among surgeons. Postoperative pancreatic fistula (POPF) remains the most feared specific complication in reconstruction after PD. The Blumgart anastomosis (BA) has been established as one of the safest anastomosis for pancreas remnant reconstruction, with low rates of POPF and postoperative complications. The procedure for performing this anastomosis by laparoscopic approach has not been reported to date...
November 1, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/27803744/endoscopic-characteristics-and-usefulness-of-endoscopic-dilatation-of-anastomotic-stricture-following-pancreaticojejunostomy-case-series-and-a-review-of-the-literature
#10
REVIEW
Akihiko Kida, Yukihiro Shirota, Yuji Houdo, Tokio Wakabayashi
The incidence of pancreatitis induced by anastomotic stricture following pancreaticodigestive tract anastomosis as a late-onset adverse event has been reported to be 3% or lower, but some cases repeatedly relapse and are difficult to treat. Endoscopic identification and treatment of the anastomotic site are considered to be difficult, and only a small number of cases have been reported. We present three cases with recurrent pancreatitis induced by anastomotic stricture following pancreaticojejunostomy applied after pancreaticoduodenectomy...
November 2016: Therapeutic Advances in Gastroenterology
https://www.readbyqxmd.com/read/27780375/which-suture-material-is-optimal-for-pancreaticojejunostomy-anastomosis-an-in-vitro-study
#11
Kerem Karaman, Ali Bal, Mehmet Aziret, Metin Ercan, Erdal Birol Bostanci, Musa Akoglu
BACKGROUND: Which suture material is optimal for pancreaticojejunostomy (PJ) anastomosis is a matter of debate with contradictory results. The aim of the present in vitro study was to determine the effects of pancreatic juice, bile, and their mixture on different suture materials in terms of breaking strength and disintegration. MATERIAL AND METHODS: Four suture materials, silk, polyglactin 910, polydioxanone, and polypropylene, were tested in pancreatic juice, bile, and their mixture...
October 26, 2016: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
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...
October 24, 2016: 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...
October 18, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27763896/reply-to-the-letter-to-the-editor-randomized-controlled-trial-of-pancreaticojejunostomy-versus-stapler-closure-of-the-pancreatic-stump-during-distal-pancreatectomy-to-reduce-pancreatic-fistula
#14
https://www.readbyqxmd.com/read/27738384/intraoperative-fluid-excess-is-a-risk-factor-for-pancreatic-fistula-after-partial-pancreaticoduodenectomy
#15
Helge Bruns, Veronika Kortendieck, Hans-Rudolf Raab, Dalibor Antolovic
Background. After pancreaticoduodenectomy (PD), pancreatic fistulas (PF) are a frequent complication. Infusions may compromise anastomotic integrity. This retrospective analysis evaluated associations between intraoperative fluid excess and PF. Methods. Data on perioperative parameters including age, sex, laboratory findings, histology, infusions, surgery time, and occurrence of grade B/C PF was collected from all PD with pancreaticojejunostomy (PJ) performed in our department from 12/2011 till 02/2015. The glomerular filtration rate (GFR), infusion rate, and the ratio of both and its association with PF were calculated...
2016: HPB Surgery: a World Journal of Hepatic, Pancreatic and Biliary Surgery
https://www.readbyqxmd.com/read/27729750/central-pancreatectomy-for-pancreatic-schwannoma-a-case-report-and-literature-review
#16
Shao-Yan Xu, Ke Sun, Kwabena Gyabaah Owusu-Ansah, Hai-Yang Xie, Lin Zhou, Shu-Sen Zheng, Wei-Lin Wang
Schwannomas are mesenchymal tumors originating from Schwann cells in peripheral nerve sheaths. Although the tumor can be located in any part of the human body, the most common locations are the head, neck, trunk and extremities. Pancreatic schwannomas are rare. To our knowledge, only 64 cases of pancreatic schwannoma have been reported in the English literature over the past 40 years. In this paper, we present a pancreatic schwannoma in a 59-year-old female. Ultrasound, computed tomography and magnetic resonance imaging revealed the tumor located in the pancreatic body; however, accurate diagnosis was hard to obtain preoperatively and a pancreatic cystadenoma was preliminarily considered...
October 7, 2016: World Journal of Gastroenterology: WJG
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
#17
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...
October 7, 2016: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/27587970/percutaneous-pancreatic-stent-placement-for-postoperative-pancreaticojejunostomy-stenosis-a-case-report
#18
Seung Koo Yang, Chang Jin Yoon
Stenosis of the pancreatico-enteric anastomosis is one of the major complications of pancreaticoduodenectomy (PD). Endoscopic stent placement, has limited success rate as a nonsurgical treatment due to altered gastrointestinal anatomy. Percutaneous treatment is rarely attempted due to the technical difficulty in accessing the pancreatic duct. We reported a case of pancreaticojejunostomy stenosis after PD, in which a pancreatic stent was successfully placed using a rendezvous technique with a dual percutaneous approach...
September 2016: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
https://www.readbyqxmd.com/read/27530630/one-layer-versus-two-layer-duct-to-mucosa-pancreaticojejunostomy-after-pancreaticoduodenectomy-study-protocol-for-a-randomized-controlled-trial
#19
Shu-Bo Pan, Wei Geng, Da-Chen Zhou, Jiang-Ming Chen, Hong-Chuan Zhao, Fu-Bao Liu, Sheng-Xue Xie, Hui Hou, Yi-Jun Zhao, Kun Xie, Guo-Bin Wang, Xiao-Ping Geng
BACKGROUND: Although various pancreaticojejunal duct-to-mucosa anastomosis methods have been developed to reduce the postoperative risks of pancreaticoduodenectomy, pancreatic fistula remains the most serious complication with a high incident rate. The aim of this study is to compare the safety and effectiveness of one-layer and two-layer duct-to-mucosa pancreaticojejunostomy in patients undergoing pancreaticoduodenectomy. METHODS/DESIGN: In this study, adult patients who sign consent forms will be recruited and scheduled for elective pancreaticoduodenectomy...
August 17, 2016: Trials
https://www.readbyqxmd.com/read/27495991/triple-bypass-for-advanced-pancreatic-head-cancer-associated-with-biliary-stricture-duodenal-stenosis-and-recurrent-obstructive-pancreatitis
#20
Yuzan Kudo, Norihiro Sato, Toshihisa Tamura, Keiji Hirata
Bypass surgery for cancer of the pancreatic head is usually done to palliate the obstructive symptoms in the biliary and/or digestive system. However, it is uncommon for patients to require pancreatic duct drainage for recurrent obstructive pancreatitis. In this article, we report a surgical technique of triple bypass consisting of Roux-en-Y hepaticojejunostomy, gastrojejunostomy, and pancreaticojejunostomy for advanced pancreatic cancer. A 76-year-old male patient with locally advanced and metastatic pancreatic head cancer was referred to our department for biliary stricture, duodenal stenosis, and recurrent obstructive pancreatitis associated with persistent pancreatic pseudocyst...
December 2016: Surgical Case Reports
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