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A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients.

Publication ,  Journal Article
Papalampros, A; Niehaus, K; Moris, D; Fard-Aghaie, M; Stavrou, G; Margonis, A-G; Angelou, A; Oldhafer, K
Published in: Journal of visceral surgery
December 2016

Postoperative pancreatic fistula (POPF) is one of the most frequent and serious postoperative complications of pancreatoduodenectomy (PD). We sought to assess the impact of a novel pancreaticojejunostomy (PJ) on the rates of POPF and overall postoperative complications.Between 01/2010 and 12/2013, a total of 248 consecutive patients who underwent PD with a modified PJ were identified from our database and retrospectively analyzed. POPF cases were divided into three categories (ISGPF-international study group-guidelines): biochemical fistula without clinical sequelae (grade A), fistula requiring any therapeutic intervention (grade B), and fistula with severe clinical sequelae (grade C). Perioperative outcomes were recorded and analyzed.The overwhelming majority of patients had no evidence of fistula. Grade A POPF was observed in 9 (3.62%), grade B in 1 (0.40%), and grade C in 0 patients. There were no postoperative deaths. Overall complications occurred in 61 patients (24.59%) of patients after PD.This modified pancreaticojejunostomy is widely applicable and is associated with very low rates of POPF, low postoperative morbidity and mortality. Overall, it is a feasible and safe novel approach with excellent short-term outcomes.

Duke Scholars

Published In

Journal of visceral surgery

DOI

EISSN

1878-7886

ISSN

1878-7886

Publication Date

December 2016

Volume

153

Issue

6

Start / End Page

425 / 431

Related Subject Headings

  • Treatment Failure
  • Retrospective Studies
  • Postoperative Complications
  • Pancreaticojejunostomy
  • Pancreatic Fistula
  • Middle Aged
  • Male
  • Intestinal Mucosa
  • Incidence
  • Humans
 

Citation

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Papalampros, A., Niehaus, K., Moris, D., Fard-Aghaie, M., Stavrou, G., Margonis, A.-G., … Oldhafer, K. (2016). A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients. Journal of Visceral Surgery, 153(6), 425–431. https://doi.org/10.1016/j.jviscsurg.2016.05.004
Papalampros, A., K. Niehaus, D. Moris, M. Fard-Aghaie, G. Stavrou, A. -. G. Margonis, A. Angelou, and K. Oldhafer. “A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients.Journal of Visceral Surgery 153, no. 6 (December 2016): 425–31. https://doi.org/10.1016/j.jviscsurg.2016.05.004.
Papalampros A, Niehaus K, Moris D, Fard-Aghaie M, Stavrou G, Margonis A-G, et al. A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients. Journal of visceral surgery. 2016 Dec;153(6):425–31.
Papalampros, A., et al. “A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients.Journal of Visceral Surgery, vol. 153, no. 6, Dec. 2016, pp. 425–31. Epmc, doi:10.1016/j.jviscsurg.2016.05.004.
Papalampros A, Niehaus K, Moris D, Fard-Aghaie M, Stavrou G, Margonis A-G, Angelou A, Oldhafer K. A safe and feasible "clock-face" duct-to-mucosa pancreaticojejunostomy with a very low incidence of anastomotic failure: A single center experience of 248 patients. Journal of visceral surgery. 2016 Dec;153(6):425–431.
Journal cover image

Published In

Journal of visceral surgery

DOI

EISSN

1878-7886

ISSN

1878-7886

Publication Date

December 2016

Volume

153

Issue

6

Start / End Page

425 / 431

Related Subject Headings

  • Treatment Failure
  • Retrospective Studies
  • Postoperative Complications
  • Pancreaticojejunostomy
  • Pancreatic Fistula
  • Middle Aged
  • Male
  • Intestinal Mucosa
  • Incidence
  • Humans