In Whipple's procedure, which anastomotic technique has lower leak rate; Pancreaticogastostomy or Pancreatojejunostomy?

A best evidence topic has been constructed using a described protocol. The three-part question addressed was: in patient with Whipple's procedure which anastomotic technique has lower leak rate pancreaticogastostomy (PG) or pancreatojejunostomy (PJ)? Using the reported search, 38 articles were...

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Detalles Bibliográficos
Autores principales: Ibrahim, Rashid, Abounozha, Sabry, Nawara, Hossam, Alawad, Awad
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2020
Materias:
Original Research
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7782191/
https://www.ncbi.nlm.nih.gov/pubmed/33425350
http://dx.doi.org/10.1016/j.amsu.2020.12.042
Descripción
Sumario:A best evidence topic has been constructed using a described protocol. The three-part question addressed was: in patient with Whipple's procedure which anastomotic technique has lower leak rate pancreaticogastostomy (PG) or pancreatojejunostomy (PJ)? Using the reported search, 38 articles were found; out of this six studies were deemed to be suitable to answer the question. The outcomes assessed were incidence of anastomotic leaks (pancreatic fistula) in both techniques PG and PJ. In conclusion, the best evidence showed that PG anastomosis has lower incidence of pancreatic fistula in comparison to PJ anastomosis.

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