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Vol. 6, No. 2, 2012
Issue release date: May – August
Open Access Gateway
Case Rep Gastroenterol 2012;6:472–477
(DOI:10.1159/000341520)
Published: July 2012

Jejunal Scarf-Covering Method in Pancreaticojejunostomy after Total Gastrectomy

Oida T.a · Kano H.a · Mimatsu K.a · Kawasaki A.a · Kuboi Y.a · Fukino N.a · Kida K.a · Amano S.b
aDepartment of Surgery, Social Insurance Yokohama Central Hospital, Yokohama, and bDepartment of Surgery, Nihon University School of Medicine, Tokyo, Japan

Abstract

Pancreatic fistula is the most serious postoperative complication after pancreaticoduodenectomy, and it leads to intra-abdominal abscess, sepsis, hemorrhage and high mortality. To prevent pancreatic fistula, wrapping of skeletonized vessels and the anastomotic site of the pancreaticoenterostomy using the round ligament, greater omentum, or both has been evaluated. However, the round ligament and greater omentum have already been resected in patients who have previously undergone total gastrectomy, making them unavailable in pancreaticoduodenectomy. Therefore, we developed a procedure for wrapping the anastomotic site of the pancreaticojejunostomy using the jejunum, namely the ‘jejunal scarf-covering method’ as a novel technique to prevent pancreatic fistula following pancreaticoduodenectomy in patients who have previously undergone total gastrectomy.

 goto top of outline Author Contacts

Takatsugu Oida, MD, PhD
Department of Surgery, Social Insurance Yokohama Central Hospital
268 Yamashita-cho, Naka-ku, Yokohama 231-8553 (Japan)
Tel. +81 45 641 1921, E-Mail ooida.takatsugu@yokochu.jp


 goto top of outline Article Information

Published online: July 19, 2012
Number of Print Pages : 6
Number of Figures : 3,


 goto top of outline Publication Details

Case Reports in Gastroenterology

Vol. 6, No. 2, Year 2012 (Cover Date: May - August)

Journal Editor: Urrutia R. (Rochester, Minn.), Lomberk G. (Rochester, Minn.)
ISSN: 1662-0631 (Print), eISSN: 1662-0631 (Online)

For additional information: http://www.karger.com/CRG


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
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