Binding Pancreaticogastrostomy

  • Xu-An Wang
  • Ying-Bin Liu
  • Shu-You Peng


Binding pancreaticojejunostomy (BPJ) has been widely used in China; however, when the stump of the pancreas remnant is too large, it might be difficult to insert it into the lumen of the jejunum [1, 2]. In order to solve this problem, a new procedure called binding pancreaticogastrostomy (BPG) has been designed by the author and classified it into four types [1, 2] (Fig. 30.1).



Some of the figures and contexts were reused with permission from our previous papers.


  1. 1.
    Peng SY, Wang XA, Liu YB, Hong DF, Li JT, Tao F, Tan ZJ. Peng’s pancreaticogastrostomy-comparative study on types I and II procedures (with type III and IV appended). J Surg Concepts Pract. 2009;14(5):101–5.Google Scholar
  2. 2.
    Peng SY, Wang JW, Hong DF, Liu YB, Wang YF. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy. Updat Surg. 2011;63(2):69–74.CrossRefGoogle Scholar
  3. 3.
    Topal B, Fieuws S, Aerts R, Weerts J, Feryn T, Roeyen G, Bertrand C, Hubert C, Janssens M, Closset J. Belgian Section of Hepatobiliary and Pancreatic Surgery. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours: a multicentre randomised trial. Lancet Oncol. 2013;14(7):655–62.CrossRefGoogle Scholar
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    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.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Xu-An Wang
    • 1
  • Ying-Bin Liu
    • 1
  • Shu-You Peng
    • 2
  1. 1.Xinhua Hospital, Shanghai Jiaotong University School of MedicineShanghaiChina
  2. 2.The Second Affiliated Hospital of Zhejiang University School of MedicineShanghaiChina

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