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Isolated Roux-loop Pancreaticojejunostomy: a Series of 61 Patients with Zero Postoperative Pancreaticoenteric Leaks by Christopher D. Sutton; Giuseppe Garcea; Stephen A. White; Emily O'Leary; Leslie-Jane Marshall; David P. Berry; Ashley R. Dennison is a Medicine article available to read on EtoBox.

What is Isolated Roux-loop Pancreaticojejunostomy: a Series of 61 Patients with Zero Postoperative Pancreaticoenteric Leaks about?

There have been approximately 70 reported variations of reconstruction after pancreaticoduodenectomy (PD). The pancreaticojejunal (PJ) anastomosis is the source of most reported morbidity and mortality. In this study, we aimed to identify the anastomotic leak rate in patients undergoing PD for malignant disease using a proximal isolated jejunal pancreatic anastomosis. Sixty-one consecutive patients undergoing PD (26 women and 35 men; age range, 41-79 years, mean age, 62 years). had an identical reconstruction. The PJ anastomosis was performed using the most proximal isolated jejunum in two layers: interrupted 4.0 Prolene was used to achieve mucosal/ductal continuity, and 3.0 Prolene was used for the serosal/ parenchymal anastomosis, around an appropriately sized stent. All postoperative complications were recorded. A pancreatic leak was defined as persistent discharge of amylase-rich pancreatic drain fluid. The overall complication rate was 44% (27 of 61, including 15 chest infections, 8 wound infections, and 2 postoperative cardiac arrhythmias). There were 3 deaths (30-day mortality rate, 5%). One patient died after a cerebrovascular accident, one from respiratory failure secondar

Who reads Isolated Roux-loop Pancreaticojejunostomy: a Series of 61 Patients with Zero Postoperative Pancreaticoenteric Leaks?

Author

Christopher D. Sutton; Giuseppe Garcea; Stephen A. White; Emily O'Leary; Leslie-Jane Marshall; David P. Berry; Ashley R. Dennison

Publisher

Springer-Verlag; Springer Verlag; Elsevier BV; Springer Science and Business Media LLC; Society for Mining, Metallurgy and Exploration Inc.; Springer Nature (ISSN 1091-255X)

Published

2004

Language

EN

Field

Medicine (Health Sciences)