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Am J Surg. 2004 Mar;187(3):410-2.

Inkwell pancreaticojejunal anastomosis after pancreaticoduodenectomy.

Author information

  • 1Department of Surgery, Wyckoff Heights Medical Center, 374 Stockholm St., Brooklyn, NY 11237, USA. acrao@aol.com

Abstract

BACKGROUND:

End-to-end pancreaticojejunal anastomosis after Whipple's resection poses a difficult surgical challenge because the disparity in the relative sizes of the cut pancreas and the jejunum makes it difficult to ensure a water-tight seal. Leakage exposes patients to potentially serious postoperative complications and mortality.

METHODS:

We describe a new technique to provide accurate telescoping of the pancreas into the jejunum by dilating and inverting the jejunum over the friable pancreas.

RESULTS:

The method appears to prevent leakage of pancreatic fluid at the anastomotic site. It has been successfully performed in 5 cases. No patient showed any evidence of pancreatic leakage and all survived uneventfully.

CONCLUSIONS:

The method is easy to perform and appears to be reliable. We believe it serves to reduce morbidity and mortality from pancreatic leakage.

PMID:
15006573
[PubMed - indexed for MEDLINE]
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