Peng’s pancreaticojejunal anastomosis (binding pancreaticojejunostomy) for the pancreatoduodenectomy —A new procedure ensuring no leakage

2002 ◽  
Vol 1 (2) ◽  
pp. 65-67 ◽  
Author(s):  
Yingbin Liu ◽  
Jianwei Wang ◽  
Bin Xu ◽  
Haijun Li ◽  
Tang Zhe ◽  
...  
Keyword(s):  
Binding Pancreaticojejunostomy ◽  
Pancreaticojejunal Anastomosis

Hemorrhage from the pancreatic cut end into the jejunum after binding pancreaticojejunostomy: report of a case

Surgery Today ◽  
2013 ◽  
Vol 44 (9) ◽  
pp. 1754-1756 ◽  
Author(s):  
Akari Itoyama ◽  
Daisuke Hashimoto ◽  
Hideharu Tsutsumi ◽  
Akira Chikamoto ◽  
Toru Beppu ◽  
...  
Keyword(s):  
Binding Pancreaticojejunostomy

scholarly journals “A New Reconstructive Method after Pancreaticoduodenectomy: the Triple Roux on a “P” Loop. Rationale and Radionuclide Scanning Evaluatlon.”

HPB Surgery ◽  
1996 ◽  
Vol 9 (4) ◽  
pp. 223-227 ◽  
Author(s):  
Gianluigi Pescio ◽  
Erminio Cariati
Keyword(s):  
Pancreatic Fistula ◽  
Bile Ducts ◽  
Alimentary Tract ◽  
Jejunal Loop ◽  
Linear Stapler ◽  
Suggested Model ◽  
Biliary Anastomosis ◽  
Pancreaticojejunal Anastomosis ◽  
Enterogastric Reflux ◽  
Radionuclide Scanning

We propose a method of reconstruction after pancreaticoduodenectomy consisting of a double Roux en Y on the same jejunal loop without interruption of the mesentery and a third anatomical Roux en Y to reconstitute the alimentary tract.The construction of the double Roux en Y draining pancreas and bile ducts separately, requires a linear Stapler 3-4 centimeters from the biliary anastomosis. In this way, by employing the same loop without mesenteric interruption, two functional excluded loops will be ’obtained. The rationale of the suggested model is based on the separation of biliary and pancreatic secretions. This makes it possible to avoid a stagnant cul-de-sac coinciding with the pancreaticojejunal anastomosis and to obtain in the case of leakage, a pure biliary and/or pancreatic fistula as far as is possible.99mTc HIDA scans demonstrated the efficiency, of the biliopancreatic limbs of the reconstruction, showing normal emptying time for the gastric remnant and the absence of radionuclide stagnation or any alkaline enterogastric reflux.

Binding Pancreaticojejunostomy: How I Do It

2018 ◽  
pp. 119-124
Author(s):  
Jiang Tao Li ◽  
Shu You Peng ◽  
Yuan Quan Yu
Keyword(s):  
Binding Pancreaticojejunostomy

Initial Experience with Biodegradable Pancreatic Stents in the Prevention of Postoperative Pancreatic Fistula after Cephalic Pancreaticoduodenectomy

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Sanchez Bueno F ◽  
◽  
Gil Vazquez PJ ◽  
Ferreras D ◽  
Gomez B ◽  
...  
Keyword(s):  
Pancreatic Fistula ◽  
Randomized Study ◽  
Somatostatin Analogues ◽  
Postoperative Pancreatic Fistula ◽  
Initial Experience ◽  
Technical Success ◽  
Biodegradable Stent ◽  
Biodegradable Stents ◽  
Pancreatic Reconstruction ◽  
Pancreaticojejunal Anastomosis

Background: Postoperative Pancreatic Fistula (POPF) remains the most important morbidity after pancreaticoduodenectomy. There is no consensual technique for pancreatic reconstruction and many surgeons use a transanastomotic drain. Currently, the stents used are not degradable and they can cause obstruction, stricture and pancreatitis. The use of biodegradable stents that disappear a few months after the intervention could have a role in the prevention of pancreaticojejunostomy complications. The aim of the study was to evaluate technical success of implantation and safety of newly available biodegradable stents in 16 patients undergoing cephalic duodenopancreatectomy. Materials and Methods: A single-center prospective non-randomized study was conducted with patients undergoing PD. A total of 16 patients were included. A duct-to-mucosa end-to-side anastomosis was performed for the pancreaticojejunal anastomosis and the biodegradable stent (Archimedes) was placed from the pancreatic duct to the jejunum. Results: One of the patients developed POPF, which was successfully treated with interventional radiology drainage and somatostatin analogues. Completed degradation occurred after 3 months in all cases. There was no mortality at 30 days after PD. Conclusion: Based on our experience, the use of resorbable internal pancreatic prostheses could be a valid alternative to prevent POPF after a pancreaticoduodenectomy, also avoiding the main complications related to the use of non-absorbable prostheses.

Binding Pancreaticojejunostomy

2019 ◽  
pp. 227-231
Author(s):  
Xu-An Wang ◽  
Jian-Wei Wang ◽  
Jiang-Tao Li ◽  
Ying-Bin Liu ◽  
Shu-You Peng
Keyword(s):  
Binding Pancreaticojejunostomy

scholarly journals Preliminary results of binding pancreaticojejunostomy

2014 ◽  
Vol 18 (1) ◽  
pp. 21 ◽  
Author(s):  
Jin Min Kim ◽  
Jung Bum Hong ◽  
Woo Young Shin ◽  
Yun-Mee Choe ◽  
Gun Young Lee ◽  
...  
Keyword(s):  
Preliminary Results ◽  
Binding Pancreaticojejunostomy

CONTROLLED RELEASE OF BASIC FIBROBLAST GROWTH FACTOR PROMOTES HEALING OF THE PANCREATICOJEJUNAL ANASTOMOSIS

Pancreas ◽  
2007 ◽  
Vol 35 (4) ◽  
pp. 391-392
Author(s):  
T. Aimoto ◽  
E. Uchida ◽  
A. Matsushita ◽  
Y. Tabata ◽  
T. Takano ◽  
...  
Keyword(s):  
Controlled Release ◽  
Growth Factor ◽  
Fibroblast Growth Factor ◽  
Basic Fibroblast Growth Factor ◽  
Fibroblast Growth ◽  
Pancreaticojejunal Anastomosis
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