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Journal of Gastrointestinal Surgery

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01-04-2010 | Original Article

Peng’s Binding Pancreaticojejunostomy After Pancreaticoduodenectomy: A French Prospective Study

Authors: Emmanuel Buc, Renaud Flamein, Claudio Golffier, Anne Dubois, Ganesh Nagarajan, Emmanuel Futier, Denis Pezet

Published in: Journal of Gastrointestinal Surgery | Issue 4/2010

Abstract

Background

Pancreatic fistula (PF) is the single most important complication after pancreaticoduodenectomy. Recently, a 0% rate of PF was reported using a binding pancreaticojejunostomy with intussusception of the pancreatic stump. The aim of this study was to assess the safety of this new binding pancreaticojejunostomy in condition most susceptible to PF, i.e. soft pancreas and non-dilated main pancreatic duct.

Methods

Forty-five consecutive patients with soft pancreas and non-dilated main pancreatic duct underwent a binding pancreaticojejunostomy. Post-operative PF was defined according to the International Study Group of Pancreatic Fistula.

Results

Four patients (8.9%) developed a PF. In one case, PF developed on post-operative day 3 due to a technical deficiency. In the three other cases, pancreatic fistula developed after the tenth post-operative day; all the patients had local and/or general co-morbidities before PF occurrence.

Conclusions

Binding pancreaticojejunostomy according to Peng is a safe and secure technique that improves the rate of pancreatic fistula, especially in case of soft texture of the pancreas remnant. However, a 0% rate seems to be hard to achieve because other abdominal and general complications are frequent and can lead to secondary leakage of the pancreatic anastomosis.

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Title: Peng’s Binding Pancreaticojejunostomy After Pancreaticoduodenectomy: A French Prospective Study
Authors: Emmanuel Buc
Renaud Flamein
Claudio Golffier
Anne Dubois
Ganesh Nagarajan
Emmanuel Futier
Denis Pezet
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 4/2010
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-009-1125-y

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Peng’s Binding Pancreaticojejunostomy After Pancreaticoduodenectomy: A French Prospective Study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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