Pancreaticoduodenectomy (PD) holds high postoperative morbidity. How to resolve this issue is challenged. An additional anastomosis (Braun enteroenterostomy) following PD may decrease the postoperative morbidity, but holds conflicting results. The objective of this study is to investigate the advantages and disadvantages of Braun enteroenterostomy in PD. Clinical studies compared perioperative ...

Ralf J. Braun 1,#, *, Verónica I. Dumit 2,3,# , Cécile Monpays 4 , Xavier Roucou 5 , Daniel Serrano 6 , Julie St-Pierre 7 , Paula J. Waters 8 , Ian Bates 9 , and Denis Gris 10, * 1 Institute of Cell Biology, University of Bayreuth, 95440 Bayreuth, Germany. 2 ZBSA Center for Biological Systems Analysis, Core Facility Proteomics, University of Freiburg, Freiburg, Germany. 3 Department of Dermatol...

CONTEXT Delayed gastric emptying is a major cause of morbidity following pancreaticoduodenectomy. OBJECTIVE The impact of a Braun enteroenterostomy on delayed gastric emptying, used in reconstruction following classic pancreaticoduodenectomy, was assessed. PATIENTS Forty-four consecutive patients undergoing non-pylorus preserving pancreaticoduodenectomy from 2009 to 2011 by a single surgeon...

Background. Although Billroth II (BII) reconstruction is simpler and faster than Billroth I or Roux-en-Y (RY) reconstruction in patients undergoing totally laparoscopic distal gastrectomy (TLDG), BII reconstruction is associated with several complications, including more severe bile reflux. BII Braun anastomosis may be a better alternative to RY reconstruction. Methods. This retrospective study...

We welcome and appreciate the comment by Braun and Schmidt on our recent correspondence about the gambler's fallacy in goalkeeper behaviour during penalty shoot-outs. Braun and Schmidt assert that the binomial is more appropriate for analysing the data than our resampling approach. Their analyses appear to assume that dive direction is binomially distributed with a probability of 0.5. In fact, ...