Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy
Background: A duct-to-mucosa pancreatojejunostomy is technically difficult to perform than Dunking procedure after pancreatoduodenectomy. In contrast, the incidence of anastomotic dehiscence is more in Dunking than duct-to-mucosa procedure. Duct-to-mucosa technique is rarely practiced in our country...
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| Format: | Article |
| Language: | English |
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Bangabandhu Sheikh Mujib Medical University
2016-08-01
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| Series: | Bangabandhu Sheikh Mujib Medical University Journal |
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| Online Access: | https://www.banglajol.info/index.php/BSMMUJ/article/view/29085 |
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| author | Bidhan C. Das Sarwar Sobhan M.A.K. Azad Saif Uddin Ahmed Arif Salam Khan Zulfiqur Rahman Khan |
| author_facet | Bidhan C. Das Sarwar Sobhan M.A.K. Azad Saif Uddin Ahmed Arif Salam Khan Zulfiqur Rahman Khan |
| author_sort | Bidhan C. Das |
| collection | DOAJ |
| description | Background: A duct-to-mucosa pancreatojejunostomy is technically difficult to perform than Dunking procedure after pancreatoduodenectomy. In contrast, the incidence of anastomotic dehiscence is more in Dunking than duct-to-mucosa procedure. Duct-to-mucosa technique is rarely practiced in our country because of technical difficulties and lack of experiences.
Objectives: This study was undertaken to evaluate the safety of duct-to-mucosa procedure in our patients with pancreatoduodenectomy.
Methods: We have performed pancreatojejunostomy in 14 consecutive patients using a duct-to-mucosa technique and the result was assessed.
Results: No patients developed pancreato-jejunal leakage; however, 6 of 14 patients developed complications not related to operative techniques (wound infections; 3,jejunal fistula following removal of jejunal feeding tube; 1, renal dysfunction; 1, delayed gastric emptying; 1) which were managed conservatively. There were no postoperative deaths in the present series and the median postoperative hospital stay was 20.3 days. The follow-up period ranged from 1 to 12 months and all patients are surviving with good health during this period.
Conclusion: Pancreatojejunostomy by duct-to-mucosal technique is a safe method of pancreatojejunostomy after pancreatoduodenecytomy. |
| first_indexed | 2024-04-13T05:59:14Z |
| format | Article |
| id | doaj.art-1731c4c165fb42e5b59c47ca399515d6 |
| institution | Directory Open Access Journal |
| issn | 2074-2908 2224-7750 |
| language | English |
| last_indexed | 2024-04-13T05:59:14Z |
| publishDate | 2016-08-01 |
| publisher | Bangabandhu Sheikh Mujib Medical University |
| record_format | Article |
| series | Bangabandhu Sheikh Mujib Medical University Journal |
| spelling | doaj.art-1731c4c165fb42e5b59c47ca399515d62022-12-22T02:59:29ZengBangabandhu Sheikh Mujib Medical UniversityBangabandhu Sheikh Mujib Medical University Journal2074-29082224-77502016-08-016110.3329/bsmmuj.v6i1.2908518694Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomyBidhan C. Das0Sarwar Sobhan1M.A.K. Azad2Saif Uddin Ahmed3Arif Salam Khan4Zulfiqur Rahman Khan5Department of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaDepartment of Surgery, Bangabandhu Sheikh Mujib Medical University, Kazi Nazrul Islam Avenue, Shahbag, DhakaBackground: A duct-to-mucosa pancreatojejunostomy is technically difficult to perform than Dunking procedure after pancreatoduodenectomy. In contrast, the incidence of anastomotic dehiscence is more in Dunking than duct-to-mucosa procedure. Duct-to-mucosa technique is rarely practiced in our country because of technical difficulties and lack of experiences. Objectives: This study was undertaken to evaluate the safety of duct-to-mucosa procedure in our patients with pancreatoduodenectomy. Methods: We have performed pancreatojejunostomy in 14 consecutive patients using a duct-to-mucosa technique and the result was assessed. Results: No patients developed pancreato-jejunal leakage; however, 6 of 14 patients developed complications not related to operative techniques (wound infections; 3,jejunal fistula following removal of jejunal feeding tube; 1, renal dysfunction; 1, delayed gastric emptying; 1) which were managed conservatively. There were no postoperative deaths in the present series and the median postoperative hospital stay was 20.3 days. The follow-up period ranged from 1 to 12 months and all patients are surviving with good health during this period. Conclusion: Pancreatojejunostomy by duct-to-mucosal technique is a safe method of pancreatojejunostomy after pancreatoduodenecytomy.https://www.banglajol.info/index.php/BSMMUJ/article/view/29085Anastomotic leakDuct-to-mucosa techniquePancreato-jejunostomy |
| spellingShingle | Bidhan C. Das Sarwar Sobhan M.A.K. Azad Saif Uddin Ahmed Arif Salam Khan Zulfiqur Rahman Khan Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy Bangabandhu Sheikh Mujib Medical University Journal Anastomotic leak Duct-to-mucosa technique Pancreato-jejunostomy |
| title | Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| title_full | Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| title_fullStr | Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| title_full_unstemmed | Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| title_short | Duct-to-mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| title_sort | duct to mucosa pancreatojejunostomy is a safe technique of reconstruction after pancreatoduodenectomy |
| topic | Anastomotic leak Duct-to-mucosa technique Pancreato-jejunostomy |
| url | https://www.banglajol.info/index.php/BSMMUJ/article/view/29085 |
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