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Gómez T, Palomares A, Serradilla M, Tejedor L. Reconstruction after pancreatoduodenectomy: Pancreatojejunostomy vs pancreatogastrostomy. World J Gastrointest Oncol 2014; 6(9): 369-376 [PMID: 25232462 DOI: 10.4251/wjgo.v6.i9.369]
World J Gastrointest Oncol. Sep 15, 2014; 6(9): 369-376 Published online Sep 15, 2014. doi: 10.4251/wjgo.v6.i9.369
Reconstruction after pancreatoduodenectomy: Pancreatojejunostomy vs pancreatogastrostomy
Tatiana Gómez, Ana Palomares, Mario Serradilla, Luis Tejedor
Tatiana Gómez, Luis Tejedor, Department of Surgery, Hospital Punta de Europa, 11207 Algeciras (Cádiz), Spain
Ana Palomares, Mario Serradilla, Division of Hepato-Pancreatic-Biliary Surgery, Department of Surgery, Complejo Hospitalario de Jaén, 23007 Jaén, Spain
Author contributions: Gómez T and Palomares A contributed equally to this work, performed the research and wrote the paper; Serradilla M and Tejedor L designed and supervised the research and translated the paper.
Correspondence to: Mario Serradilla, MD, Division of Hepato-Pancreatic-Biliary Surgery, Department of Surgery, Complejo Hospitalario de Jaén, Avda. del Ejército Español 10, 23007 Jaén, Spain. marioserradilla@hotmail.com
Telephone: +34-636-006184 Fax: +34-953-008041
Received: August 29, 2013 Revised: February 25, 2014 Accepted: March 8, 2014 Published online: September 15, 2014 Processing time: 201 Days and 0.2 Hours
Core Tip
Core tip: Pancreatoduodenectomy is a technique with a high rate of morbidity and mortality. Surgeons try to find the best technique of reconstruction in order to decrease postoperative complications. We compare the two most frequent techniques of reconstruction after pancreatoduodenectomy, namely pancreatojejunostomy and pancreatogastrostomy, to determine which of the two is better. We offer a systematic review of the main papers published with all the pros and cons of each technique. The best method to deal with the pancreatic stump after pancreatoduodenectomy remains questionable. The choice of method of pancreatic anastomosis could be based on individual experience and on the surgeon’s preference and adherence to basic principles, such as good exposure and visualization.
