Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy
Objective: To assess the safety of the pancreatic anastomosis after pancreatico‐duodenectomy (PD). Design: Non‐randomized prospective trial in consecutive patients. Setting: University hospital. Subjects: 171 consecutive patients with resectable periampullary cancer (80%) or intractable pain due to...
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| Veröffentlicht in: | The European journal of surgery 1999-04, Vol.165 (4), p.357-362 |
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| creator | Arnaud, J. P. Tuech, J. J. Cervi, Ch Bergamaschi, R. |
| description | Objective:
To assess the safety of the pancreatic anastomosis after pancreatico‐duodenectomy (PD).
Design:
Non‐randomized prospective trial in consecutive patients.
Setting:
University hospital.
Subjects:
171 consecutive patients with resectable periampullary cancer (80%) or intractable pain due to chronic pancreatitis (20%) undergoing PD.
Interventions:
Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG).
Main outcome measures:
Mortality and morbidity rates due to anastomotic leak following PJ and PG.
Results:
91 PJ and 80 PG patients were comparable for age, gender, total bilirubin, ASA grading, indication for PD, operating time, pancreas texture, blood loss and replacement. The rate of pancreatic fistula was significantly higher in PJ patients (13%) than in PG patients (3.7%) (12 vs. 3, p = 0.029). Overall death rate was significantly higher after PJ (12%) than after PG (3.7%) (11 vs. 3, p = 0.047). Fatal outcome due to pancreatic leak (3 vs. 1, p = 0.83) and other death rates (8 vs. 2, p = 0.14) were not significantly different in PJ and PG groups, respectively.
Conclusion:
PJ was associated with significantly higher pancreatic leak rate than PG. However, there was no statistically significant difference in mortality rates directly related to pancreatic leak. Copyright © 1999 Taylor and Francis Ltd. |
| doi_str_mv | 10.1080/110241599750006901 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69811287</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69811287</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4864-92240c0d0118e9aabc6d754989936c804ee3b496abd2fcf655840811fca2e0233</originalsourceid><addsrcrecordid>eNqN0Mtu1DAUBmALUdELvEAXaBaIXdpzbMeXJeq9qmhRQagry-OcQIZkMtiJ2nn7usqorcSGlS35-4_tn7F9hAMEA4eIwCWW1uoSAJQFfMN2UEssLNf4Nu8zKLLAbbab0iIjFJq_Y9sIQpVGmB12d-OXIZIfmtD_8mmIfRr6bj0LfbfykarZfTP8nq1e0IIW43KDfD1QfH1YjX1FSwpPp-_ZVu3bRB826x77cXry_ei8uLo-uzj6clUEaZTMT-USAlSAaMh6Pw-q0qW0xlqhggFJJObSKj-veB1qVZZGgkGsg-cEXIg99nmau4r935HS4LomBWpbv6R-TE7ZrLnRGfIJhvzJFKl2q9h0Pq4dgnsq1P1baA593Ewf5x1VryJTgxl82gCfgm_rmNto0ovTSgmAzNTE7puW1v9xszu5vNVS5mAxBZs00MNz0Mc_TmmhS_fz65k7xhvBv8Gts-IRM9adLg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>69811287</pqid></control><display><type>article</type><title>Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Arnaud, J. P. ; Tuech, J. J. ; Cervi, Ch ; Bergamaschi, R.</creator><creatorcontrib>Arnaud, J. P. ; Tuech, J. J. ; Cervi, Ch ; Bergamaschi, R.</creatorcontrib><description>Objective:
To assess the safety of the pancreatic anastomosis after pancreatico‐duodenectomy (PD).
Design:
Non‐randomized prospective trial in consecutive patients.
Setting:
University hospital.
Subjects:
171 consecutive patients with resectable periampullary cancer (80%) or intractable pain due to chronic pancreatitis (20%) undergoing PD.
Interventions:
Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG).
Main outcome measures:
Mortality and morbidity rates due to anastomotic leak following PJ and PG.
Results:
91 PJ and 80 PG patients were comparable for age, gender, total bilirubin, ASA grading, indication for PD, operating time, pancreas texture, blood loss and replacement. The rate of pancreatic fistula was significantly higher in PJ patients (13%) than in PG patients (3.7%) (12 vs. 3, p = 0.029). Overall death rate was significantly higher after PJ (12%) than after PG (3.7%) (11 vs. 3, p = 0.047). Fatal outcome due to pancreatic leak (3 vs. 1, p = 0.83) and other death rates (8 vs. 2, p = 0.14) were not significantly different in PJ and PG groups, respectively.
Conclusion:
PJ was associated with significantly higher pancreatic leak rate than PG. However, there was no statistically significant difference in mortality rates directly related to pancreatic leak. Copyright © 1999 Taylor and Francis Ltd.</description><identifier>ISSN: 1102-4151</identifier><identifier>EISSN: 1741-9271</identifier><identifier>DOI: 10.1080/110241599750006901</identifier><identifier>PMID: 10365838</identifier><language>eng</language><publisher>UK: Taylor & Francis, Ltd</publisher><subject>Anastomosis, Surgical - methods ; Biological and medical sciences ; Chronic Disease ; Female ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrostomy ; Humans ; Liver, biliary tract, pancreas, portal circulation, spleen ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Middle Aged ; Pancreatic Neoplasms - surgery ; Pancreaticoduodenectomy ; Pancreaticojejunostomy ; Pancreatitis - surgery ; Postoperative Complications - epidemiology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the digestive system ; Tumors</subject><ispartof>The European journal of surgery, 1999-04, Vol.165 (4), p.357-362</ispartof><rights>Copyright © 1999 Taylor and Francis Ltd</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4864-92240c0d0118e9aabc6d754989936c804ee3b496abd2fcf655840811fca2e0233</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1766300$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10365838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Arnaud, J. P.</creatorcontrib><creatorcontrib>Tuech, J. J.</creatorcontrib><creatorcontrib>Cervi, Ch</creatorcontrib><creatorcontrib>Bergamaschi, R.</creatorcontrib><title>Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy</title><title>The European journal of surgery</title><addtitle>Eur J Surg</addtitle><description>Objective:
To assess the safety of the pancreatic anastomosis after pancreatico‐duodenectomy (PD).
Design:
Non‐randomized prospective trial in consecutive patients.
Setting:
University hospital.
Subjects:
171 consecutive patients with resectable periampullary cancer (80%) or intractable pain due to chronic pancreatitis (20%) undergoing PD.
Interventions:
Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG).
Main outcome measures:
Mortality and morbidity rates due to anastomotic leak following PJ and PG.
Results:
91 PJ and 80 PG patients were comparable for age, gender, total bilirubin, ASA grading, indication for PD, operating time, pancreas texture, blood loss and replacement. The rate of pancreatic fistula was significantly higher in PJ patients (13%) than in PG patients (3.7%) (12 vs. 3, p = 0.029). Overall death rate was significantly higher after PJ (12%) than after PG (3.7%) (11 vs. 3, p = 0.047). Fatal outcome due to pancreatic leak (3 vs. 1, p = 0.83) and other death rates (8 vs. 2, p = 0.14) were not significantly different in PJ and PG groups, respectively.
Conclusion:
PJ was associated with significantly higher pancreatic leak rate than PG. However, there was no statistically significant difference in mortality rates directly related to pancreatic leak. Copyright © 1999 Taylor and Francis Ltd.</description><subject>Anastomosis, Surgical - methods</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Female</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrostomy</subject><subject>Humans</subject><subject>Liver, biliary tract, pancreas, portal circulation, spleen</subject><subject>Liver. Biliary tract. Portal circulation. Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pancreatic Neoplasms - surgery</subject><subject>Pancreaticoduodenectomy</subject><subject>Pancreaticojejunostomy</subject><subject>Pancreatitis - surgery</subject><subject>Postoperative Complications - epidemiology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the digestive system</subject><subject>Tumors</subject><issn>1102-4151</issn><issn>1741-9271</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqN0Mtu1DAUBmALUdELvEAXaBaIXdpzbMeXJeq9qmhRQagry-OcQIZkMtiJ2nn7usqorcSGlS35-4_tn7F9hAMEA4eIwCWW1uoSAJQFfMN2UEssLNf4Nu8zKLLAbbab0iIjFJq_Y9sIQpVGmB12d-OXIZIfmtD_8mmIfRr6bj0LfbfykarZfTP8nq1e0IIW43KDfD1QfH1YjX1FSwpPp-_ZVu3bRB826x77cXry_ei8uLo-uzj6clUEaZTMT-USAlSAaMh6Pw-q0qW0xlqhggFJJObSKj-veB1qVZZGgkGsg-cEXIg99nmau4r935HS4LomBWpbv6R-TE7ZrLnRGfIJhvzJFKl2q9h0Pq4dgnsq1P1baA593Ewf5x1VryJTgxl82gCfgm_rmNto0ovTSgmAzNTE7puW1v9xszu5vNVS5mAxBZs00MNz0Mc_TmmhS_fz65k7xhvBv8Gts-IRM9adLg</recordid><startdate>199904</startdate><enddate>199904</enddate><creator>Arnaud, J. P.</creator><creator>Tuech, J. J.</creator><creator>Cervi, Ch</creator><creator>Bergamaschi, R.</creator><general>Taylor & Francis, Ltd</general><general>Taylor & Francis</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199904</creationdate><title>Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy</title><author>Arnaud, J. P. ; Tuech, J. J. ; Cervi, Ch ; Bergamaschi, R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4864-92240c0d0118e9aabc6d754989936c804ee3b496abd2fcf655840811fca2e0233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Anastomosis, Surgical - methods</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Female</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrostomy</topic><topic>Humans</topic><topic>Liver, biliary tract, pancreas, portal circulation, spleen</topic><topic>Liver. Biliary tract. Portal circulation. Exocrine pancreas</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Pancreatic Neoplasms - surgery</topic><topic>Pancreaticoduodenectomy</topic><topic>Pancreaticojejunostomy</topic><topic>Pancreatitis - surgery</topic><topic>Postoperative Complications - epidemiology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the digestive system</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arnaud, J. P.</creatorcontrib><creatorcontrib>Tuech, J. J.</creatorcontrib><creatorcontrib>Cervi, Ch</creatorcontrib><creatorcontrib>Bergamaschi, R.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The European journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arnaud, J. P.</au><au>Tuech, J. J.</au><au>Cervi, Ch</au><au>Bergamaschi, R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy</atitle><jtitle>The European journal of surgery</jtitle><addtitle>Eur J Surg</addtitle><date>1999-04</date><risdate>1999</risdate><volume>165</volume><issue>4</issue><spage>357</spage><epage>362</epage><pages>357-362</pages><issn>1102-4151</issn><eissn>1741-9271</eissn><abstract>Objective:
To assess the safety of the pancreatic anastomosis after pancreatico‐duodenectomy (PD).
Design:
Non‐randomized prospective trial in consecutive patients.
Setting:
University hospital.
Subjects:
171 consecutive patients with resectable periampullary cancer (80%) or intractable pain due to chronic pancreatitis (20%) undergoing PD.
Interventions:
Pancreaticojejunostomy (PJ) and pancreaticogastrostomy (PG).
Main outcome measures:
Mortality and morbidity rates due to anastomotic leak following PJ and PG.
Results:
91 PJ and 80 PG patients were comparable for age, gender, total bilirubin, ASA grading, indication for PD, operating time, pancreas texture, blood loss and replacement. The rate of pancreatic fistula was significantly higher in PJ patients (13%) than in PG patients (3.7%) (12 vs. 3, p = 0.029). Overall death rate was significantly higher after PJ (12%) than after PG (3.7%) (11 vs. 3, p = 0.047). Fatal outcome due to pancreatic leak (3 vs. 1, p = 0.83) and other death rates (8 vs. 2, p = 0.14) were not significantly different in PJ and PG groups, respectively.
Conclusion:
PJ was associated with significantly higher pancreatic leak rate than PG. However, there was no statistically significant difference in mortality rates directly related to pancreatic leak. Copyright © 1999 Taylor and Francis Ltd.</abstract><cop>UK</cop><pub>Taylor & Francis, Ltd</pub><pmid>10365838</pmid><doi>10.1080/110241599750006901</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The European journal of surgery, 1999-04, Vol.165 (4), p.357-362 |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; Alma/SFX Local Collection |
| subjects | Anastomosis, Surgical - methods Biological and medical sciences Chronic Disease Female Gastroenterology. Liver. Pancreas. Abdomen Gastrostomy Humans Liver, biliary tract, pancreas, portal circulation, spleen Liver. Biliary tract. Portal circulation. Exocrine pancreas Male Medical sciences Middle Aged Pancreatic Neoplasms - surgery Pancreaticoduodenectomy Pancreaticojejunostomy Pancreatitis - surgery Postoperative Complications - epidemiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the digestive system Tumors |
| title | Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy |
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