Publication:
Surgical outcomes of combined modified Blumgart pancreaticojejunostomy and long internal pancreatic duct stent for pancreaticoduodenectomy

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Issued Date

2021

Resource Type

Article

Language

eng

File Type

application/pdf

ISSN

24058572

DOI

10.1016/j.ijso.2021.100346

Other identifier(s)

2-s2.0-85105592269

Rights Holder(s)

มหาวิทยาลัยศรีนครินทรวิโรฒ

Bibliographic Citation

International Journal of Surgery Open. Vol 33, No. (2021)

Suggested Citation

Wongta K., Tangsirapat V. Surgical outcomes of combined modified Blumgart pancreaticojejunostomy and long internal pancreatic duct stent for pancreaticoduodenectomy. International Journal of Surgery Open. Vol 33, No. (2021). doi:10.1016/j.ijso.2021.100346 Retrieved from: https://hdl.handle.net/20.500.14740/7571

Title

Surgical outcomes of combined modified Blumgart pancreaticojejunostomy and long internal pancreatic duct stent for pancreaticoduodenectomy

Author(s)

Wongta K.
 Tangsirapat V.

Abstract

Background: Postoperative pancreatic fistula (POPF) is the most serious complication in patients who underwent pancreaticoduodenectomy (PD). The Blumgart anastomosis and its modifications are the favorable techniques of pancreaticojejunostomy anastomosis (PJ) performed worldwide. This report proposed the surgical outcomes of combined the new technique of modified Blumgart anastomosis with the long internal pancreatic duct stent for the (PJ). Study design: We evaluated the surgical outcomes of a consecutive series of the patients at Panyananthaphikkhu Chonprathan Medical Center who underwent PD from June 2017 to June 2020. PJ was conducted in all cases using the transpancreatic mattress suture modified from the original Blumgart's technique and the long pancreatic duct stent was placed across the anastomosis. The primary endpoints were clinically relevant postoperative pancreatic fistula (CR-POPF) and 30-day mortality rate. The secondary endpoints were the early postoperative complications. Results: Twelve patients underwent PD using the proposed technique. Overall mortality was 8.3%. The rate of CR-POPF was 33.3%, two patients had a prolonged period of the intraabdominal drain, and one patient underwent the percutaneous drainage of the intraabdominal collection. The only patient with Grade C-POPF died after re-exploration due to severe septicemia. The median postoperative length of stay (LOS) was 12 days. Conclusions: The combination of the new technique of modified Blumgart PJ with the long internal pancreatic duct stent is an alternative technique that may prevent the pancreatic fistula. The CR-POPF rate and the overall survival are comparable to prior literature. However, further study is needed to clarify the definite outcomes. © 2021 The Author(s)

Subject(s)

Amoxicillin plus clavulanic acid
 Octreotide
 Adult
 Aged
 Antibiotic prophylaxis
 Article
 Biliary tract drainage
 Blood transfusion
 Body mass
 Cohort analysis
 Diabetes mellitus
 Duodenum carcinoma
 Female
 Follow up
 Gallbladder carcinoma
 Hepatic artery
 Hepatojejunostomy
 Human
 Length of stay
 Male
 Modified Blumgart pancreaticojejunostomy
 Mortality rate
 Operation duration
 Pancreas adenocarcinoma
 Pancreas fistula
 Pancreaticoduodenectomy
 Pancreaticojejunostomy
 Percutaneous drainage
 Postoperative care
 Postoperative complication
 Postoperative hemorrhage
 Priority journal
 Reoperation
 Retrospective study
 Superior mesenteric artery
 Superior mesenteric vein
 Surgical technique
 Transverse colon
 Vater papilla carcinoma

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URI

https://hdl.handle.net/20.500.14740/7571

Collections

Scopus: Year 1983-2021

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