Abstract
Pancreaticojejunostomy stricture (PJS), which has been less studied and no treatment consensus till now, is a late complication after pancreaticoduodenectomy (PD). However, the incidence is increasing since the postoperative survival time after PD was prolonged. The incidence of PJS reached about 2–5% [1–3], which was very low, only one paper reported the incidence rate of 11.3% (27/237) [4]. PJS mainly occurs in patients with benign diseases such as IPMN and chronic pancreatitis underwent PD, but the high risk factors were not apparent. Coiffi et al. [4] reported the diagnosis and treatment of 26 patients with PJS, of which 19% are chronic pancreatitis, 32% are IPMN, and 26% are ampullary malignant tumors with PD. There was little analysis of PJS in pancreatic cancer and other malignant tumors, there is only one study described the incidence of PJS after PD in 310 malignant tumors, which is 1.93% [5].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Cioffi JL, McDuffie LA, Roch AM, Zyromski NJ, Ceppa EP, Schmidt CM, Nakeeb A, House MG. Pancreaticojejunostomy stricture after pancreatoduodenectomy: outcomes after operative revision. J Gastrointest Surg. 2016;20(2):293–9.
Demirjian AN, Kent TS, Callery MP, Vollmer CM. The inconsistent nature of symptomatic pancreatico-jejunostomy anastomotic strictures. HPB (Oxford). 2010;12(7):482–7.
Reid-Lombardo KM, Ramos-De la Medina A, Thomsen K, Harmsen WS, Farnell MB. Long-term anastomotic complications after pancreaticoduodenectomy for benign diseases. J Gastrointest Surg. 2007;11(12):1704–11.
Morgan KA, Fontenot BB, Harvey NR, Adams DB. Revision of anastomotic stenosis after pancreatic head resection for chronic pancreatitis: is it futile? HPB (Oxford). 2010;12(3):211–6.
Wagle P, Yadav KS, Sali PA, Garg R, Varty P. Is revision surgery justified for symptomatic pancreatico-enteric anastomotic stenosis in long-term survivors following pancreaticoduodenectomy for malignancy? J Gastrointest Surg. 2017;21(2):339–43.
Zarzavadjian Le Bian A, Cesaretti M, Tabchouri N, Wind P, Fuks D. Late pancreatic anastomosis stricture following pancreaticoduodenectomy: a systematic review. J Gastrointest Surg. 2018;22(11):2021–8.
Wang XA, Wu XS, Cai Y, Jin HC, Shen WM, Liu YB, Wang P. Single purse-string duct to mucosa pancreaticogastrostomy: a safe, easy, and useful technique after pancreaticoduodenectomy. J Am Coll Surg. 2015;220(5):e41–8.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Wang, XA., Xie, FL. (2020). Surgical Treatment of Pancreatico-enteric Anastomosis Stenosis and Post-operative Chronic Pancreatitis. In: Liu, Yb. (eds) Surgical Atlas of Pancreatic Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-32-9864-4_27
Download citation
DOI: https://doi.org/10.1007/978-981-32-9864-4_27
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-32-9863-7
Online ISBN: 978-981-32-9864-4
eBook Packages: MedicineMedicine (R0)