Resection in chronic pancreatitis: Anastomosis with the Jejunum or with the stomach?

C. Bassi, M. Falconi, T. Tihany, R. Salvia, A. Valerio, E. Caldiron, M. Abu Hilal, L. E. Flautner, P. Pederzoli

Research output: Contribution to journalArticle

Abstract

Even in centers where the first choice in the surgical treatment ofichronic pancreatitis is a derivative procedure some selected patients require resection. The most popular solution of gastrointestinal reconstruction still seems to be pancreaticojejunostomy but, the review of the reported experiences, suggests a general trend towords anastomosis with the stomach as a recent policy. A reliable comparison between pancreaticogastrostomy and pancreaticojejunostomy is difficult because the reported series are seldom related to chronic pancreatitis patients only, but are reporting mixed date concerning mainly periampullary cancer. Moreover with only one exception no prospective randomised clinical trails are available; unfortunately the positive trend in favour of pancreaticogastrostomy reported in uncontrolled studies is not confirmed in the randomised setting. Also the comparison between the experiences achieved by the present authors working in centers with different approach to the pancreatic anastomosis does not show statistical significant difference for both morbidity and mortality. In conclusion nowday the best confidence and experience with any of the two methods rapresents the basis of choice.

Original languageEnglish
Pages (from-to)51-55
Number of pages5
JournalAnnali Italiani di Chirurgia
Volume71
Issue number1
Publication statusPublished - Jan 2000

Keywords

  • Chronic pancreatitis
  • Pancreaticogastrostomy
  • Pancreaticojejunostomy
  • Pancreatoduodenectomy
  • Surgical therapy

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Bassi, C., Falconi, M., Tihany, T., Salvia, R., Valerio, A., Caldiron, E., Abu Hilal, M., Flautner, L. E., & Pederzoli, P. (2000). Resection in chronic pancreatitis: Anastomosis with the Jejunum or with the stomach? Annali Italiani di Chirurgia, 71(1), 51-55.