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An end-to-end pancreaticojejunostomy using a mechanical purse-string device.

Authors
Type
Published Article
Journal
The American Journal of Surgery
0002-9610
Publisher
Elsevier
Publication Date
Volume
177
Issue
4
Pages
340–341
Identifiers
PMID: 10326856
Source
Medline
License
Unknown

Abstract

Pancreatic-jejunal anastomosis leaks are a major cause of morbidity and mortality after pancreaticoduodenectomy. We have used a mechanical purse-string device to secure the jejunum to the intussuscepted pancreatic stump in 17 patients. A major leak developed in 1 patient and minor leaks developed in 2 patients, all of which were managed nonoperatively. This technique is expeditious and safe.

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