Telford G L, Mason G R
Am J Surg. 1984 Jun;147(6):832-7. doi: 10.1016/0002-9610(84)90214-9.
The propensity for leakage and disruption at the site of the pancreaticojejunostomy is a major reason for morbidity and death after pancreaticoduodenal resection. Because it is less prone to leakage and disruption, pancreaticogastrostomy has been reintroduced as a possible alternative to pancreaticojejunostomy. Of four patients in whom the pancreas was simply implanted into the stomach and five patients in whom a direct pancreatic-duct-to-gastric-mucosa anastomosis was constructed, there was no morbidity or death related to the pancreatic anastomosis. Because of evidence that a direct pancreatic-duct-to-gastric-mucosa anastomosis has an increased incidence of patency and because it was successful in a clinical setting, it is recommended.
胰肠吻合口处发生渗漏和破裂的倾向是胰十二指肠切除术后发病和死亡的主要原因。由于胰胃吻合术不易发生渗漏和破裂，因此作为胰肠吻合术的一种可能替代方法而被重新采用。在4例将胰腺简单植入胃内的患者和5例构建了直接胰管-胃黏膜吻合术的患者中，均未发生与胰吻合相关的发病或死亡情况。鉴于有证据表明直接胰管-胃黏膜吻合术的通畅率有所提高，且在临床环境中取得了成功，故推荐采用该术式。
