Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy
Pancreatic fistula is the most serious postoperative complication after pancreaticoduodenectomy, and it leads to intra-abdominal abscess, sepsis, hemorrhage and high mortality. To prevent pancreatic fistula, wrapping of skeletonized vessels and the anastomotic site of the pancreaticoenterostomy usin...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2012-07-01
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| Series: | Case Reports in Gastroenterology |
| Subjects: | |
| Online Access: | http://www.karger.com/Article/FullText/341520 |
| _version_ | 1819077040020652032 |
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| author | Takatsugu Oida Hisao Kano Kenji Mimatsu Atsushi Kawasaki Youichi Kuboi Nobutada Fukino Kazutoshi Kida Sadao Amano |
| author_facet | Takatsugu Oida Hisao Kano Kenji Mimatsu Atsushi Kawasaki Youichi Kuboi Nobutada Fukino Kazutoshi Kida Sadao Amano |
| author_sort | Takatsugu Oida |
| collection | DOAJ |
| description | Pancreatic fistula is the most serious postoperative complication after pancreaticoduodenectomy, and it leads to intra-abdominal abscess, sepsis, hemorrhage and high mortality. To prevent pancreatic fistula, wrapping of skeletonized vessels and the anastomotic site of the pancreaticoenterostomy using the round ligament, greater omentum, or both has been evaluated. However, the round ligament and greater omentum have already been resected in patients who have previously undergone total gastrectomy, making them unavailable in pancreaticoduodenectomy. Therefore, we developed a procedure for wrapping the anastomotic site of the pancreaticojejunostomy using the jejunum, namely the ‘jejunal scarf-covering method’ as a novel technique to prevent pancreatic fistula following pancreaticoduodenectomy in patients who have previously undergone total gastrectomy. |
| first_indexed | 2024-12-21T18:50:52Z |
| format | Article |
| id | doaj.art-fb206495e57d46549ceab65f8db10382 |
| institution | Directory Open Access Journal |
| issn | 1662-0631 |
| language | English |
| last_indexed | 2024-12-21T18:50:52Z |
| publishDate | 2012-07-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Gastroenterology |
| spelling | doaj.art-fb206495e57d46549ceab65f8db103822022-12-21T18:53:45ZengKarger PublishersCase Reports in Gastroenterology1662-06312012-07-016247247710.1159/000341520341520Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total GastrectomyTakatsugu OidaHisao KanoKenji MimatsuAtsushi KawasakiYouichi KuboiNobutada FukinoKazutoshi KidaSadao AmanoPancreatic fistula is the most serious postoperative complication after pancreaticoduodenectomy, and it leads to intra-abdominal abscess, sepsis, hemorrhage and high mortality. To prevent pancreatic fistula, wrapping of skeletonized vessels and the anastomotic site of the pancreaticoenterostomy using the round ligament, greater omentum, or both has been evaluated. However, the round ligament and greater omentum have already been resected in patients who have previously undergone total gastrectomy, making them unavailable in pancreaticoduodenectomy. Therefore, we developed a procedure for wrapping the anastomotic site of the pancreaticojejunostomy using the jejunum, namely the ‘jejunal scarf-covering method’ as a novel technique to prevent pancreatic fistula following pancreaticoduodenectomy in patients who have previously undergone total gastrectomy.http://www.karger.com/Article/FullText/341520PancreaticoduodenectomyPancreaticogastrostomyPancreaticojejunostomyTotal gastrectomyPancreatic fistulaJejunal loop |
| spellingShingle | Takatsugu Oida Hisao Kano Kenji Mimatsu Atsushi Kawasaki Youichi Kuboi Nobutada Fukino Kazutoshi Kida Sadao Amano Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy Case Reports in Gastroenterology Pancreaticoduodenectomy Pancreaticogastrostomy Pancreaticojejunostomy Total gastrectomy Pancreatic fistula Jejunal loop |
| title | Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy |
| title_full | Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy |
| title_fullStr | Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy |
| title_full_unstemmed | Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy |
| title_short | Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy |
| title_sort | jejunal scarf covering method in pancreaticojejunostomy after total gastrectomy |
| topic | Pancreaticoduodenectomy Pancreaticogastrostomy Pancreaticojejunostomy Total gastrectomy Pancreatic fistula Jejunal loop |
| url | http://www.karger.com/Article/FullText/341520 |
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