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Ann Chir. 1994;48(7):604-6.

[Pancreaticojejunal anastomosis by intussusception of an isolated loop in pancreaticoduodenectomy].

[Article in French]

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  • 1Service de Chirurgie Générale et Digestive, Hôpitaux Universitaires de Strasbourg-Hautepierre, Strasbourg.


The most frequent and severe complication of pancreaticoduodenectomy is pancreatic fistula due to dehiscence of the pancreas anastomosis. The technique that uses a separate Roux en Y loop for pancreas anastomosis, to reduce the fatal risks of pancreatic fistula, has been described for more than 50 years. With the development of pancreaticogastrostomy, it seems interesting to present a procedure using an isolated loop for the pancreas; this technique, derived from those previously described allows a good intussusception of the pancreatic stump into the intestinal loop. This method was performed in 22 pancreaticoduodenectomies. There were 2 operative deaths unrelated to the pancreaticojejunal anastomosis and one pancreatic fistula, which healed under medical treatment.

[PubMed - indexed for MEDLINE]
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