Two anastomotic techniques are available for reconstruction after pancreatoduodenectomy: pancreatojejunostomy, which is the traditional and most widely used technique, and pancreatogastrostomy. The latter was introduced into clinical practice more than 50 years ago, and has recently received increasing attention due to favorable outcome when compared to pancreatojejunostomy in randomized contro...

Annular pancreas can present in adult life, usually when inflammation of the pancreatic ring causes duodenal stenosis. Although peptic ulcer is often associated with annular pancreas, an association with gastric carcinoma has not been previously described. Here we report a patient with annular pancreas, chronic alcoholic pancreatitis and gastric carcinoma, who was successfully treated by radica...

Abstract Background This meta-analysis reviewed the current evidence on impact of routine Nasogastric decompression (NGD) versus no NGD after pancreatoduodenectomy perioperative outcomes. Methods PubMed, Medline, Scopus, Embase and Cochrane databases were searched for studies reporting role nasogastric tube outcomes retrieved analysed up to January 2021. Results Eight with total 1301 patients e...

A 47-year-old female underwent robotic pancreatoduodenectomy for the pancreatic head cancer. During surgery, jejunum (the afferent limb) was brought up, although Treitz ligament route to perform pancreaticojejunostomy and hepaticojejunostomy anastomoses, followed by antecolic gastrojejunostomy. The patient presented with acute abdominal pain 3 months after surgery. Laboratory found elevated hep...