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Pancreaticogastrostomy After Resection of the Pancreatic Head

  • Conference paper
Standards in Pancreatic Surgery

Abstract

Resection of the pancreatic head is a major surgical undertaking which can only be accomplished safely if all parts of the reconstruction heal satisfactorily. Historically, the most feared step in the reconstruction has been the anastomosis between the pancreatic remnant and the small bowel. Most surgeons report a high incidence of leakage from this anastomosis which overall runs at 13.6% (Table 1). This serious complication carries a mortality of 19%, which makes it one of the major causes of postoperative death. Some authors have noted a falling mortality from pancreaticoduodectomy, but they found no corresponding reduction in pancreatic fistula rates when pancreaticojejunostomy was used [3, 7].

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Authors and Affiliations

  1. University Surgical Unit, F Level, Centre Block, Southampton General Hospital, SO9 4XY, Southampton, UK

    C. D. Johnson

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  1. C. D. Johnson
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Editors and Affiliations

  1. Abteilung für Allgemeine Chirurgie, Universitätsklinik Ulm, Steinhövelstraße 9, W-7900, Ulm, Germany

    H. G. Beger  & M. Büchler  & 

  2. Abteilung Innere Medizin II, Universitätsklinik Ulm, Robert-Koch-Straße 8, W-7900, Ulm, Germany

    P. Malfertheiner

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© 1993 Springer-Verlag Berlin Heidelberg

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Johnson, C.D. (1993). Pancreaticogastrostomy After Resection of the Pancreatic Head. In: Beger, H.G., Büchler, M., Malfertheiner, P. (eds) Standards in Pancreatic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77437-9_74

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  • DOI: https://doi.org/10.1007/978-3-642-77437-9_74

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-77439-3

  • Online ISBN: 978-3-642-77437-9

  • eBook Packages: Springer Book Archive

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