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Invited Critique
Feb 2012

Omental Roll-up Technique Decreases Pancreatic Fistula–or Does It?Comment on “Efficacy of Omental Roll-up Technique in Pancreaticojejunostomy as a Strategy to Prevent Pancreatic Fistula After Pancreaticoduodenoectomy”

Author Affiliations

Author Affiliation: Department of Surgery, Massachusetts General Hospital, Boston.

Arch Surg. 2012;147(2):150-151. doi:10.1001/archsurg.2011.1032

In this article, Dr Choi et al1 describe their recent experience with pancreaticoduodenectomy in 68 patients. The results are not dissimilar from many series with a perioperative mortality of less than 2% and a morbidity of 54%, which is at the upper end of most reported series. More disturbing is their pancreatic fistula rate of 33%. Fortunately, about half the patients had International Study Group for Pancreatic Fistula (ISGPF) grade A fistulas and had otherwise uneventful postoperative courses.2

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