July 1997

Simple Technique for Pancreatogastrostomy and the Histological Findings of Pancreatogastric Anastomosis

Author Affiliations

From the Departments of Surgery (Drs Yamamoto, Shimamura, Nakahara, Koishi, Kougo, Ohtani, Wantanabe, and Ishii) and Pathology (DrOhmura), Chibanishi West Hospital, Matsudo, Chiba, Japan.

Arch Surg. 1997;132(7):785-788. doi:10.1001/archsurg.1997.01430310099024

The leakage of pancreatic juice is the most serious complication after pancreatoduodenectomy. In an attempt to lessen the incidence of this complication, we have developed a simple technique for the anastomosis of pancreatogastrostomy. Since March 14, 1995, we have already performed surgical procedures on 8 cases of pancreatogastrostomy using this technique and as yet have never experienced fatal complications. We report the autopsy findings of pancreatogastric anastomosis histologically. The specimen taken from the anastomosis reveals good mucosal continuity. This result suggests the importance of reliable sutures between the pancreatic parenchyma and the full thickness of the gastric wall for the anastomosis of pancreatogastrostomy.

Arch Surg. 1997;132:785-788