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

Related Articles

Bone Marrow Examination in Cases of Pancytopenia

Background: Pancytopenia is a relatively common hematological entity. This study was undertaken to find out the various causes of pancytopenia by bone marrow examination Methods: This was a retrospective study carried ou...

A Clinical Study Of Uveitis

Objective: To know about the pattern of presentation of Uveitis, its clinical course and management of the cases of Uveitis at Govt..General Hospital ,Department of Ophthalmology, Guntur, Andhra Pradesh.. Materials And M...

Simple Exercise Tolerance in Male 1st Year MBBS Students- a probable indirect effect of mental stress

Mental stress in medical students is a global phenomenon. In the present study searching for any indirect effect of mental stress we measured mental stress level through SRQ 20 and also the resting pulse rate , BP and EC...

Perceptions and practice of self-medication among undergraduate medical students of West Bengal

Background: Self medications with over the counter (OTC) drugs usage has been prevalent among medical students.. Aim: The aim of the study was to assess the perceptions and practice of self-medication among medical stude...

Versatility of Aluminum Spacer In The Two Step Putty Wash Technique - A Unique Clinical Approach

We here describe an innovative approach to the tried and tested two step impression technique using polyvinyl siloxane putty and light body impression materials. The technique by principle is a two step technique but in...

Download PDF file
  • EP ID EP598544
  • DOI 10.9790/0853-1603073033.
  • Views 70
  • Downloads 0

How To Cite

D. Suresh kumar, G. Arul kumar, M. P. Vishwanathan (2017). Duct To Mucosa Pancreatico Gastrostomy With Internal Stenting After Pancreaticoduodenectomy - Retrospective Study Of Outcome In 25 Consecutive Cases.. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 16(3), 30-33. https://www.europub.co.uk/articles/-A-598544