Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

The most recent articles from: J. Gastrointest. Surg. October 2015

J. Gastrointest. Surg. · Oct 2015

Review Meta Analysis Comparative Study

Duct-to-Mucosa Versus Invagination Pancreaticojejunostomy Following Pancreaticoduodenectomy: a Systematic Review and Meta-Analysis.

Postoperative pancreatic fistula (POPF) is one of the most common complications after pancreaticoduodenectomy (PD). The ideal choice of pancreaticojejunostomy (PJ) anastomosis remains a matter of debate. ⋯ Invagination PJ is not superior to duct-to-mucosa PJ in terms of POPF and other complications but appears to reduce clinically relevant POPF. Further well-designed RCTs that use ISGPS definition are still required before strong evidence-based recommendations can be formulated.

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