E-ISSN 2367-699X | ISSN 2367-7414
 

Original Article 


A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results

Rajesh Godara, Vinod Tamaknand, Surender Verma.

Abstract
Objective: Pancreatic fistula remains the single most important cause of morbidity following Pacreaticoduodenectomy (PD) and perhaps contributes most to increased mortality. Pancreaticogastrostomy (PG) has been used by many surgeons in recent years because of its theoretical advantages over Pancreaticojejunostomy (PJ). In this study, we analyzed outcome of modified binding PG technique following PD. Methods and Material: 20 consecutive patients were studied from April 2013 to March 2015 all of whom underwent binding PG after PD, where a single purse string suture was taken on the posterior wall of stomach with additional 4 mucosal corner sutures thereby creating a Pancreatico-gastric anastomosis. Results: We prospectively analyzed patient characteristics, perioperative outcomes and surgical results. In this study average age was 50.9 years with body mass index 21.5 2.6 kg/m2 . All patients underwent classical PD and mean operative time was 377.5 44.14 minutes.The mean operative time taken to complete pancreatogastrostomy after complete mobilization of pancreatic stump was 9.2 minutes(range 7-11minutes). Mean hospital stay was 16.55 3.83 days (range, 8 to 21 days). Postoperative mortality was 5% (n=1) due to pneumonitis. Only two patients developed Grade A pancreatic fistula, which were managed conservatively. One patient had postoperative hemorrhage and four patients developed delayed gastric emptying (DGE). Conclusion: Results of our study are very promising, proving that modified binding PG is a simple, fast and safe reconstruction procedure after PD. However to determine its superiority over conventional PG, this procedure needs to be more comprehensively evaluated in larger group of patients.

Key words: Pancreatoduodenectomy, pancreatic fistula, pancreatogastrostomy


 
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Pubmed Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. Int J Surg Med. 2018; 4(1): 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures


Web Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. http://www.ejos.org/?mno=278991 [Access: November 03, 2020]. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures


AMA (American Medical Association) Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. Int J Surg Med. 2018; 4(1): 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



Vancouver/ICMJE Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. Int J Surg Med. (2018), [cited November 03, 2020]; 4(1): 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



Harvard Style

Rajesh Godara, Vinod Tamaknand, Surender Verma (2018) A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. Int J Surg Med, 4 (1), 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



Turabian Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. 2018. A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. International Journal of Surgery and Medicine, 4 (1), 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



Chicago Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. "A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results." International Journal of Surgery and Medicine 4 (2018), 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



MLA (The Modern Language Association) Style

Rajesh Godara, Vinod Tamaknand, Surender Verma. "A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results." International Journal of Surgery and Medicine 4.1 (2018), 28-32. Print. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures



APA (American Psychological Association) Style

Rajesh Godara, Vinod Tamaknand, Surender Verma (2018) A novel pancreatogastrostomy method using only one purse string suture and four corner mucosal sutures: early post operative surgical results. International Journal of Surgery and Medicine, 4 (1), 28-32. doi:10.5455/ijsm.pancreatogastrostomy-using-only-one-purse-string-suture-four-corner-mucosal-sutures