Prospective trial of a blood supply-based technique of pancreaticojejunostomy: effect on anastomotic failure in the Whipple procedure.

@article{Strasberg2002ProspectiveTO,
  title={Prospective trial of a blood supply-based technique of pancreaticojejunostomy: effect on anastomotic failure in the Whipple procedure.},
  author={Steven Martin Strasberg and Jeffrey A. Drebin and Nahush A. Mokadam and Douglas W. Green and Karen L Jones and Justis P Ehlers and David C. Linehan},
  journal={Journal of the American College of Surgeons},
  year={2002},
  volume={194 6},
  pages={746-58; discussion 759-60}
}
BACKGROUND Anastomotic failure at the pancreaticojejunostomy after a Whipple procedure, manifested either as a pancreatic fistula or intraabdominal abscess, is still an unacceptably common postoperative complication. STUDY DESIGN A prospectively collected series of 123 patients underwent a Whipple procedure. During the pancreaticojejunostomy, the blood supply at the cut surface of the pancreas was evaluated, and if deemed inadequate, the pancreas was cut back 1.5 to 2.0 cm to improve the… CONTINUE READING
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