Critical Analysis of a Large Series of Pancreaticogastrostomy After Pancreaticoduodenectomy

Abstract

Hypothesis: Pancreaticogastrostomy is a safe operation for a variety of periampullary conditions. Design: Retrospective review of a prospectively collected database. Setting: An academic tertiary care university hospital and a Veterans Affairs hospital. Patients: A total of 235 consecutive patients who underwent pancreaticogastrostomy. Main Outcome Measures: Indications for surgery, preoperative risk factors, intraoperative and postoperative variables, and factors that affect postoperative complications. Results: The most common initial symptoms were jaundice (73.2%), weight loss (23.8%), and abdominal pain (17.0%). The 4 most common indications for surgery were pancreatic adenocarcinoma (41.3%), ampullary carci

Clinical, anthropometric and laboratory nutritional markers of pancreatic exocrine insufficiency: Prevalence and diagnostic use

“…Definition of percentage weight loss Unresectable or metastatic pancreatic adenocarcinoma [97] Total % body weight loss from onset of disease Pylorus-preserving pancreaticoduodenectomy [98] Ratio of post-operative weight at 6 months/pre-operative weight Pancreaticogastrostomy [99] Quantity of weight loss (no time scale specified) Whipple's procedure [47] Total weight loss Pancreatic cancer [100] Unintended weight loss over a period longer than 6 weeks, quantity unspecified Pancreatic cancer [45] % change in 100 days patients with PEI. The prevalence of laboratory nutritional marker abnormalities, including vitamins, minerals, trace elements and plasma proteins, has been investigated in several studies.…”

Pancreaticoduodenectomy experience in a low-volume center for pancreatic resection

“…PD sonrasi morbiditenin onde gelen nedenlerinden biri de erken dönemde ortaya çikan mide boçalma güclügüdür, degiçik serilerde %6-50 oramnda bildirilmektedir (8,10,30,31). Mide boçalma güclügü mortaliteyle iliçkili olmamakla beraber hastanm beslenmesini engelleyebi-Iir ve ameliyat sonrasi hastanede kaliç süresini uzatabilir (30).…”

La tranche pancréatique après duodénopancréatectomie céphalique : « un talon d’Achille » très étudié…

“…Deux larges séries récentes d'APG, respectivement de190 et 235 cas, rapportent des taux de FP respectifs de 7,4 et 13,6 % [44,40].…”