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KMID : 0371320000580050708
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Journal of the Korean Surgical Society
2000 Volume.58 No. 5 p.708 ~ p.715
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Efficacy of Stented Pancreaticojejunostomy and Jejunojejunostomy after Pancreaticoduodenectomy
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최 철/Chul Choi
김재홍/이승배/박주섭/Jae-Hong Kim/Seung-Bae Lee/Ju-Sub Park
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Abstract
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Purpose
A pancreaticoduodenectomy is the procedure of choice for patients with resectable carcinomas of the pancreatic head, duodenum, or periampullary region. Although the morbity and the mortality are decreasing now, but there are still high. Leakage
of
the
pancreatic duct remains the major source of death and complications after a pancreaticoduodenectomy. Thus, the authors used a stented pancreaticojejunostomy and jejunojejunostomy after a pancreaticoduodenectomy to decrease leakage of the
pancreatic
duct. Methods
The authors studied retrospectively 44 consecutive patients who had a pancreatico
duodenectomy with a stented pancreaticojejunostomy and jejunojejunostomy at Kwangju Christian Hospital between 1993 and 1998. Results
Leakage of the pancreaticojejunostomy was diagnosed in one of the 44 patients (2.5%). There were two deaths after the pancreaticoduodenectomy, one from complication of leakage of the pancreaticojejunostomy and the other from UGI bleeding.
Conclusion
The stented pancreaticojejunostomy and jejunojejunostomy is an effective and safe method for use with a pancreaticoduodenectomy. However, the leakage that might occur despite the stented pancreaticojejunostomy and jejunojejunostomy can be managed
less
invasively.
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KEYWORD
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