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KMID : 1143920220260040412
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Annals of Hepato-Biliary-Pancreatic Surgery
2022 Volume.26 No. 4 p.412 ~ p.416
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Utilization of end to side inverted mattress pancreaticojejunostomy for Duval procedure: A case report
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Jeon Hyun-Jeong
Kim Sang-Geol
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Abstract
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Although a pancreaticojejunostomy (PJ) is not required after a distal pancreatectomy in most cases, it needs to be performed to prevent atrophy of the remnant pancreas when the proximal duct is obstructed by a tumor, stone, or etc. In these conditions, the critical postoperative pancreatic fistula (POPF) gives surgeons cause to hesitate before performing a PJ. We previously presented the modified technique of Mattress PJ named “inverted mattress PJ” (IM-PJ) and published improved outcomes in the aspects of POPF after a pancreaticoduodenectomy and a central pancreatectomy. Recently, we had a case of a patient who has chronic pancreatitis with a proximal pancreatic duct obstruction, requiring a distal pancreatectomy and PJ. Based on the previous report, we decided to apply the “inverted mattress PJ” (IM-PJ) technique for a Roux-en Y PJ after a distal pancreatectomy. The patient was discharged after surgery without complications. We reviewed a case of a patient requiring PJ following a distal pancreatectomy and discussed the safety of our technique.
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KEYWORD
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Pancreatitis, chronic, Pancreatectomy, Pancreaticojejunostomy, Pancreatic fistula
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