Annals of surgery
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To review prospective randomized controlled trials to determine whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ) is associated with lower risks of mortality and pancreatic fistula after pancreaticoduodenectomy (PD). ⋯ In PD, reconstruction by PG is associated with lower postoperative pancreatic and biliary fistula rates.