Biomaterial Database

[Pancreato-gastric anastomosis after cephalic duodenopancreatectomy. Apropos of 36 cases]. 1993

J P Arnaud, and C Casa, and V Serra-Maudet, and C Georgeac, and J Ronceray

C.H.U. Angers, Service de Chirurgie viscérale.

After pancreaticoduodenal resection, a pancreatic fistula is observed in 10% of cases with a mortality rate of 20-30%. The pancreatogastrostomy was evaluated as an alternative method of restoring pancreaticointestinal continuity. From 1989 to 1991, 36 patients have undergone pancreatogastrostomy, after pancreaticoduodenectomy. The mortality rate was 2.7% (one pulmonary embolism). The morbidity rate was 2.7% (one pancreatic fistula). A endoscopic examination with injection of pancreatic duct was performed in 12 patients: in 9 cases we had a visualization of the anastomosis between the stomach and the pancreatic duct. These results confirm that pancratogastrostomy is a safe method of pancreatic drainage after pancreatoduodenectomy.

UI	MeSH Term	Description	Entries
D008297	Male		Males
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D010179	Pancreas	A nodular organ in the ABDOMEN that contains a mixture of ENDOCRINE GLANDS and EXOCRINE GLANDS. The small endocrine portion consists of the ISLETS OF LANGERHANS secreting a number of hormones into the blood stream. The large exocrine portion (EXOCRINE PANCREAS) is a compound acinar gland that secretes several digestive enzymes into the pancreatic ductal system that empties into the DUODENUM.
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D005260	Female		Females
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328	Adult	A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available.	Adults
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D000714	Anastomosis, Surgical	Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.	Surgical Anastomosis,Anastomoses, Surgical,Surgical Anastomoses
D013270	Stomach	An organ of digestion situated in the left upper quadrant of the abdomen between the termination of the ESOPHAGUS and the beginning of the DUODENUM.	Stomachs