Blumgart pancreaticojejunostomy: does it reduce postoperative pancreatic fistula in comparison to other pancreatic anastomoses?

Randomized clinical trial of external stent drainage of the pancreatic duct to reduce postoperative pancreatic fistula after pancreaticojejunostomy.

BACKGROUND Postoperative pancreatic fistula (POPF) remains one of the most common causes of morbidity following pancreaticoduodenectomy (PD). This randomized trial examined whether external stent drainage of the pancreatic duct decreases the rate of POPF after PD and subsequent pancreaticojejunostomy (PJ). METHODS Consecutive patients who underwent PD with subsequent construction of a duct-to...

Pancreaticojejunostomy or Pancreaticogastrostomy to Prevent Pancreatic Fistula Formation after Pancreaticoduodenectomy

Objective: To compare the results of pancreaticogastrostomy (PJ) with pancreaticojejunostomy (PG) in preventing fistula formation after pancreaticoduonectomy (PD). Study design: Quasi-experimental study. Place and Duration of Study: The study was carried out in Military and Combined Military Hospital Rawalpindi from August 2008 to March 2015 Material and methods: Patients of both gender aged 45...

Randomized Controlled Trial of Pancreaticojejunostomy versus Stapler Closure of the Pancreatic Stump During Distal Pancreatectomy to Reduce Pancreatic Fistula

OBJECTIVES The aim of this study was to evaluate in a multicenter randomized controlled trial (RCT) whether pancreaticojejunostomy (PJ) of pancreatic stump decreases the incidence of pancreatic fistula after distal pancreatectomy (DP) compared with stapler closure. BACKGROUND Several studies reported that PJ of pancreatic stump reduces the incidence of pancreatic fistula after DP. However, no...

Pasireotide for postoperative pancreatic fistula.

BACKGROUND Postoperative pancreatic fistula is a major contributor to complications and death associated with pancreatic resection. Pasireotide, a somatostatin analogue that has a longer half-life than octreotide and a broader binding profile, decreases pancreatic exocrine secretions and may prevent postoperative pancreatic fistula. METHODS We conducted a single-center, randomized, double-bli...

Early identification of postoperative pancreatic fistula may reduce the risk of postoperative hemorrhage in pancreatic resected patients.