Pancreatic anastomosis after pancreatoduodenectomy: A position statement by the International Study Group of Pancreatic Surgery (ISGPS).

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Abstract

Clinically relevant postoperative pancreatic fistula (grades B and C of the ISGPS definition) remains the most troublesome complication after pancreatoduodenectomy. The approach to management of the pancreatic remnant via some form of pancreatico-enteric anastomosis determines the incidence and severity of clinically relevant postoperative pancreatic fistula. Despite numerous trials comparing diverse pancreatico-enteric anastomosis techniques and other adjunctive strategies (pancreatic duct stenting, somatostatin analogues, etc), currently, there is no clear consensus regarding the ideal method of pancreatico-enteric anastomosis.

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Journal

Journal ID (iso-abbrev): Surgery

Title: Surgery

Publisher: Elsevier BV

ISSN (Electronic): 1532-7361

ISSN (Print): 0039-6060

Publication date (Electronic): May 2017

Volume: 161

Issue: 5

Affiliations

[1 ] Department of Gastrointestinal and HPB Surgical Oncology, Tata Memorial Hospital, Mumbai, India. Electronic address: shailushrikhande@hotmail.com.

[2 ] Department of Gastrointestinal and HPB Surgical Oncology, Tata Memorial Hospital, Mumbai, India.

[3 ] Department of Surgery, University of Pennsylvania, Philadelphia, PA.

[4 ] Department of Surgery, Klinikum Rechts der Isar, Technische Universitat Munchen, Munich, Germany.

[5 ] Department of Surgery, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

[6 ] Department of Digestive Surgery, University Hospital of Graz, Austria.

[7 ] Department of Surgery, Jefferson Pancreas, Biliary and Related Cancer Center, Thomas Jefferson University, Philadelphia, PA.

[8 ] Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

[9 ] Department of First Surgery, Agia Olga Hospital, Athens, Greece.

[10 ] Department of Molecular and Clinical Cancer Medicine, University of Liverpool, Liverpool, United Kingdom.

[11 ] First Surgical Clinic, Clinical Center of Serbia, University of Belgrade, Belgrade, Serbia.

[12 ] Department of General Surgery, Mayo Clinic, Jacksonville, FL.

[13 ] Department of General, Visceral and Thoracic Surgery, University Hospital Hamburg-Eppendorf, Hamburg, Germany.

[14 ] Professorial Surgical Unit, University of Dublin, Trinity College, Dublin, Ireland.

[15 ] Department of Surgery, Clinic Hospital of Barcelona, University of Barcelona, Barcelona, Spain.

[16 ] Department of Surgery, Humanitas University, Milan, Italy.

[17 ] Department of Digestive & HPB Surgery, Hopital Edouard Herriot, HCL, UCBL1, Lyon, France.

[18 ] Department of HPB & Transplant Surgery, Freeman Hospital, Newcastle upon Tyne, United Kingdom.

[19 ] Glasgow Royal Infirmary, Glasgow, United Kingdom.

[20 ] Department of General, Visceral and Transplantation Surgery, University of Heidelberg, Heidelberg, Germany.

[21 ] Department of Surgery, Klinikum Großhadern, University of Munich, Munich, Germany.

[22 ] Pancreas Center, Nanjing Medical University, Nanjing, P.R. China.

[23 ] Department of Gastroenterologic and General Surgery, Mayo Clinic, Rochester, MN.

[24 ] Department of Surgery and Oncology, Pancreas Institute, University Hospital Trust of Verona, Verona, Italy.

Article

Publisher Item ID: S0039-6060(16)30764-4

DOI: 10.1016/j.surg.2016.11.021

PubMed ID: 28027816

SO-VID: 77277f11-077e-481c-9106-64ece9c4b8f5

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