Abstract
The most important part of reconstruction after pancreaticoduodenectomy is the anastomosis between the remaining pancreas and intestinal tract. While re-establishment of pancreatic-intestinal continuity has generally been accomplished in some manner between the pancreas and the upper jejunum, reconstruction by pancreaticogastrostomy was performed in six patients who recently underwent pancreaticoduodenectomy at the department. In this report the technique and outcomes of the method are described with a review of the literature.
There were no anastomotic leakage and postoperative pancreatitis. Nausea and/or vomiting attributable to pancreaticogastrostomy were observed, but the degree was mild and all these symptoms spontaneously disappeared. Upper gastrointestinal bleeding occurred in one patient, which was successfully managed by conservative therapy.
Reconstruction with pancreaticogastrostomy appears excellent, because its technique is relatively easy and anastomotic leakage rarely occurs. For this, the technique would be recommended high risk groups such as aged patients. Further studies are needed to elucidate changes in the endocrine and exocrine of the remaining pancreas and pathological changes of the gastric mucosa.
