Relative displacement of anastomotic site of pancreato-jejunostomy in pancreatico-duodenectomy: a novel surgical reconstructive technique

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Relative displacement of anastomotic site of pancreato-jejunostomy in pancreatico-duodenectomy: a novel surgical reconstructive technique

INTRODUCTION Intra-abdominal hemorrhage following pancreatic fistula is a fatal complication after pancreatico-duodenectomy. Intra-abdominal hemorrhage has reportedly decreased with the use of fibrin glue or polyglycolic acid felt and wrapping of the skeletonized vessels by omentum or falciform ligament. However, there are no extremely effective methods for the prevention of hemorrhage. Here, w...

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Context Pancreatoduodenectomy continues to be associated with a high morbidity. Pancreaticojejunostomy leak is one of the major complications of pancreaticoduodenectomy. Pancreaticojejunostomy leak leads to collection and abscess which erodes into the stumps of divided vessels e.g. gastroduodenal artery, to cause delayed intra-abdominal bleed. Delayed intra-abdominal bleed due to pancreaticojej...

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BACKGROUND Failure of the pancreatic remnant anastomosis to heal following pancreato-duodenectomy is a major cause of significant and life-threatening complications, notably a post-operative pancreatic fistula. Recently, non-randomized trials have shown superiority of a most intuitive anastomosis (Blumgart technique), which involves both a duct-to-mucosa and a full-thickness pancreatic "U" stit...

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Endoscopic pancreatography in evaluating results of pancreatico-jejunostomy.

It has been difficult, employing clinical methods, to establish whether pancreatico-enteric drainage shunts for chronic pancreatitis have remained patent and how the operation has affected the inflammatory changes and ductal pathological morphology. In an attempt objectively to evaluate postoperative results, 13 patients with two different types of pancreatico-jejunostomies were examined with e...

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ژورنال

عنوان ژورنال: Journal of Medical Case Reports

سال: 2013

ISSN: 1752-1947

DOI: 10.1186/1752-1947-7-209