Clinical Trial Center (CTC), CRC Antwerp, Belgium
Research Article
Postpancreatectomy Hemorrhage after Pancreaticogastrostomy compared to Pancreaticojejunostomy: a single-center prospective cohort study in 274 patients
Author(s): Geert Roeyen, Eline Roeyen, Bart Bracke, Thiery Chapelle, Dirk Ysebaert, Frederik Huysentruyt, Steven De Gendt, Bart Hendrikx, Ella Roelant and Vera Hartman*
Context: Postpancreatectomy hemorrhage and postoperative pancreatic fistula are major causes of morbidity and mortality after pancreaticoduodenectomy. This single center prospective cohort study compares postpancreatectomy hemorraghe after pancreaticogastrostomy and pancreaticojejunostomy. Our hypothesis is that postpancreatectomy hemorraghe after pancreaticogastrostomy is more prevalent and severe. Design: Between January 2013 and March 2021, data on all patients undergoing pancreaticoduodenectomy were collected prospectively. In 2013, pancreaticogastrostomy was implemented as the reconstruction technique for all patients. However, due to a high incidence of severe postpancreatectomy hemorraghes the reconstruction technique was changed to pancreaticojejunostomy in 2016. The anastomosis remained consistent between the two methods, utilizing interrupted sutures with a “dunking&rd.. View More»