24Jul 2017

ALTERNATIVE TECHNIQUE OF PANCREATICOGASTROSTOMY AFTER PANCREATICODUODENECTOMY A REGIONAL CANCER CENTRE STUDY.

  • Associate Professor, Department of Surgical Oncology Gujarat Cancer And Research Institute? (G.C.R.I.), Ahmedabad.
  • Resident Doctor, Department of Surgical Oncology Gujarat Cancer And Research Institute? (G.C.R.I.), Ahmedabad.
  • Professor, Department of Surgical Oncology Gujarat Cancer And Research Institute? (G.C.R.I.), Ahmedabad.
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Background; Post operative pancreatic fistula (POPF) is a major concern after pancreaiticoduodenectomy(PD). In this sudy we presented our experience of pancreaticogastrostomy(PG) with our technique after pancreaicoduodenecomy.This technique is simple and effective in reducing chances of post operative pancreatic fistula(POPF). Material And Method: We performed PG with this alternative technique on 36 patients of pancreatic cancers operated in Gujarat Cancer And Research Institute between January 2014 to December 2016.We described a different technique of pancreaticogastrostomy without anterior gastroatomy.PG was done by taking multiple interrupted sutures between pancreatic parenchyma and posterior wall of stomach after delivering pancreatic remanent through posterior wall of stomach. Results: Out of 36 patients 18(50%) were of pancreatic head cancers.There was no perioperative mortality in this study.No patient developed significant POPF. Conclusion: Our technique of PG is simple,easy to perform and effective in controlling life threatening complications such as POPF.

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[Mohit Sharma, Ketul puj, Hemkant verma and Shashank J. Pandya. (2017); ALTERNATIVE TECHNIQUE OF PANCREATICOGASTROSTOMY AFTER PANCREATICODUODENECTOMY A REGIONAL CANCER CENTRE STUDY. Int. J. of Adv. Res. 5 (Jul). 1640-1645] (ISSN 2320-5407). www.journalijar.com

Dr.Mohit Sharma
Gujarat Cancer And Research Institute Ahmedabad

DOI:

Article DOI: 10.21474/IJAR01/4879      
DOI URL: http://dx.doi.org/10.21474/IJAR01/4879

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