E-ISSN 2367-699X | ISSN 2367-7414
 
2023, Vol: 9, Issue: 5
9 / 5Current Issue Online FirstArchiveAims and ScopeAbstracting & IndexingMost Accessed ArticlesMost Downloaded ArticlesMost Cited Articles
Required files to be uploaded

Copyright Transfer Form

Original Article
Online Published: 30 Jan 2018
 


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


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Rajesh Godara
Articles by Vinod Tamaknand
Articles by Surender Verma
on Google
on Google Scholar


How to Cite this Article
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. https://www.ejos.org/?mno=278991 [Access: September 13, 2024]. 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 September 13, 2024]; 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


Author LoginReviewer LoginAbout PublisherEditorial PoliciesEditorial Review PolicyPeer Review PolicyEditorial & Peer Review ProcessAuthor's Rights and ObligationsPublication Ethics and Publication Malpractice StatementConflict of Interest PolicyPlagiarism PolicyProtection of Research Participants (Statement On Human And Animal Rights)Privacy PolicyCorrections, Retractions & Expressions of ConcernSelf-Archiving PoliciesStatement of Informed ConsentAdvertising PolicyTerms of UseLicense InformationCopyright Information

About International Journal of Surgery and Medicine

International Journal of Surgery and Medicine E-ISSN: 2367-699X | P-ISSN: 2367-7414 International Journal of Surgery and Medicine (IJSM) is an inter ... Read more.



For best results, please use Internet Explorer or Google Chrome.

Contact Information


 

Any correspondence, queries or additional requests for information on the manuscript submission process should be sent to the International Journal of Surgery and Medicine editorial office as follows:

Bulgarian Association of Young Surgeons (BAYS)

inkov@journalmedica.com

Financial department is managed by International Sci Ink Press. 

It is a company registered in Bulgaria with registered no. 205414288 and registered address at 57 Antim I str., Vazrazhdane, Sofia, 1303, Bulgaria.

Tel: +359883427500