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KMID : 0870420140180010021
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Korean Journal of Hepato-Biliary-Pancreatic Surgery
2014 Volume.18 No. 1 p.21 ~ p.25
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Preliminary results of binding pancreaticojejunostomy
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Kim Jin-Min
Hong Jung-Bum
Shin Woo-Young
Choe Yun-Mee
Lee Gun-Young
Ahn Seung-Ik
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Abstract
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Backgrounds/Aims: The post-operative complications and clinical course of pancreaticoduodenectomy (PD) largely de-pend on the pancreaticojejunostomy (PJ). Several methods of PJ are in clinical use. We analyzed the early results of binding pancreaticojejunostomy (BPJ), a technique reported by SY Peng.
Methods: We retrospectively reviewed the clinical results of patients who received BPJ in Inha University Hospital from 2006 to 2011. 21 BPJs were performed with Peng’s method. The definition of postoperative pancreatic fistula (PF) was a high amylase content (＞3 times the upper normal serum value) of the drain fluid (of any measurable volume), at any time on or after the 3rd post-operative day. The pancreatic fistula was graded according to the International Study Group for Pancreatic Fistula (ISGPF) guidelines.
Results: Of the 21 patients who received BPJ, 11 were male. The median age was 61.2 years. PD surgery included 4 cases of Whipple’s procedures and 17 cases of pylorus-preserving PD. According to the post-op-erative course, 16 patients recovered well with no evidence of PF. A total of 5 patients (23.8%), including 3 grade A PFs and 2 grade C PFs, suffered from a pancreatic fistula. 3 patients with grade A PF recovered with conservative management.
Conclusions: The BPJ appears to be a relatively safe procedure based on this preliminary study, but further study is needed to validate its safety.
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KEYWORD
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Binding pancreaticojejunostomy, Pancreaticoduodenectomy, Pancreatic fistula
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