Considerations on pancreatic exocrine function after pancreaticoduodenectomy

Figure 1 Pancreaticogastrostomy. A: A gastrotomy is performed in the posterior wall of the stomach, and a first layer of stitches are applied approximating gastric serosa to the pancreatic stump; B: The pancreas is telescoped into the gastric lumen, and two pancreato-mucosa running sutures complete the second layer of the anastomosis; C: The final step of the anastomosis is concluded applying the last sero-pancreatic outer stitches.

Figure 2 A scanner of the pancreaticogastrostomy in the early postoperative term. In enlarged view. p: Pancreatic stump throw the gastric wall; s: Gastric lumen containing oral contrast media; v: Splenic vein draining to the portal vein on the right side of the patient; j: High density image corresponding to the staplers of the cutting edge of the jejuna limb used in the hepatico-jejunostomy.

Figure 3 Fecal elastase levels in pancreatico-gastrostomy group and pancreatico-jejunostomy group. Means are depicted with horizontal bars.