Duct To Mucosa Pancreatico Gastrostomy With Internal Stenting After Pancreaticoduodenectomy - Retrospective Study Of Outcome In 25 Consecutive Cases.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Pancreatic leak is a potentially lethal complication following pancreatico-duodenectomy. Various techniques for establishing pancreatic enteric continuity are described in the literature. In this study pancreatico-gastrostomy was done by duct to mucosa technique over a stent in 25 consecutive operable cancers of pancreatic head and periampullary region. This study was done at a surgical oncology department in a tertiary care centre by a single surgeon. Most common indication for surgery is periampullary carcinoma. Preoperative internal biliary drainage was done in 12 patients. Fourteen patients had one or more co morbidities. Postoperative morbidity reported in the study ranged between 8 to 48%. Delayed gastric emptying (48%) is the most common complication followed by wound infection (32%), pancreatic leak (8%), intra abdominal collection (8%), and bile leak (4%). Mortality of 4% was reported in the study was comparable with outcomes reported from high volume centers. Stented duct to mucosa pancreatico gastrostomy in this series of 25 cases has yielded results comparable to outcome reported in specialized centers.
Authors and Affiliations
D. Suresh kumar, G. Arul kumar, M. P. Vishwanathan
Keywords
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- EP ID EP598544
- DOI 10.9790/0853-1603073033.
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