A safe pancreaticojejunostomy anastomosis during the Whipple operation

Authors

  • Suvit Sriussadaporn Department of Surgery, Faculty of Medicine, Chulalongkorn University, Patumwan, Bangkok 10330, Thailand

Keywords:

Whipple operation, pancreaticojejunostomy

Abstract

A method of dealing with the pancreatic remnant during the Whipple operation by insertion of the remnant into the jejunal end was prospectively studied. From May 1995 to May 1996, 10 patients ed in the study. There were equal numbers of males and females. The age ranged from 30 to 84 years, with a mean of 54 years.  The indications for the Whipple operation were ampullary carcinoma in 5 patients and carcinoma of the duodenum, carcinoma of the common bile duct, carcinoma of the gastric antrum, carcinoma of the pancreatic head, and severe trauma to the pancreatic head in the remaining 5 patients. Construction of the pancreaticojejunostomy was performed by inserting the cut end of the pancreatic remnant into the jejunal end after adequate mobilization. The pancreatic remnants appeared normal in 4 patients and appeared hard and fibrotic owing to chronic pancreatitis in the other 6 patients. There was no clinical leakage, no pancreatic fistula, and no mortality. Our study helps confirm the safety of this method for both normal and fibrotic pancreatic remnants

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Published

1996-09-30

How to Cite

1.
Sriussadaporn S. A safe pancreaticojejunostomy anastomosis during the Whipple operation. Thai J Surg [Internet]. 1996 Sep. 30 [cited 2024 Jul. 18];17(3):118-23. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250120

Issue

Vol. 17 No. 3 (1996): July - September

Section

Original Articles

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.