Arnaud J P, Casa C, Serra-Maudet V, Georgeac C, Ronceray J
C.H.U. Angers, Service de Chirurgie viscérale.
Chirurgie. 1993;119(6-7):317-9; discussion 319-20.
After pancreaticoduodenal resection, a pancreatic fistula is observed in 10% of cases with a mortality rate of 20-30%. The pancreatogastrostomy was evaluated as an alternative method of restoring pancreaticointestinal continuity. From 1989 to 1991, 36 patients have undergone pancreatogastrostomy, after pancreaticoduodenectomy. The mortality rate was 2.7% (one pulmonary embolism). The morbidity rate was 2.7% (one pancreatic fistula). A endoscopic examination with injection of pancreatic duct was performed in 12 patients: in 9 cases we had a visualization of the anastomosis between the stomach and the pancreatic duct. These results confirm that pancratogastrostomy is a safe method of pancreatic drainage after pancreatoduodenectomy.
胰十二指肠切除术后，10%的病例会出现胰瘘，死亡率为20% - 30%。胰胃吻合术被评估为恢复胰肠连续性的一种替代方法。1989年至1991年，36例患者在胰十二指肠切除术后接受了胰胃吻合术。死亡率为2.7%（1例肺栓塞）。发病率为2.7%（1例胰瘘）。对12例患者进行了内镜下胰管注射检查：9例患者胃与胰管之间的吻合口可见。这些结果证实，胰胃吻合术是胰十二指肠切除术后安全的胰液引流方法。
