Department of Gastroenterology, St. Vincent's Hospital Sydney, Darling Hurst, Australia
Expert Review
Recommendations for Pancreaticogastrostomy Safer than Pancreaticojejunostomy
Author(s): Sam Derik Rainaudot*
Creating a surgical route between the transected end of the pancreatic and the stomach is called Pancreaticogastrostomy. Patients with a narrow pancreatic duct (3 mm) and soft pancreatic tissue should use this procedure. The posterior exterior wall of the anastomosis is created by inserting 8 to 12 interrupted 4-0 sutures between the pancreas's posterior side and the jejunal wall. Pancreaticojejunal anastomoses are surgical procedures used to treat chronic pancreatitis and after pancreatic cancer removal. Bilioenteric anastomosis strictures are a common consequence of biliary surgery, resulting in recurrent choledocholithiasis, biliary cirrhosis, and hepatic failure. Bilioenteric reconstruction surgery is the standard treatment for such problems. .. View More»
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