Muralidhar Nambada, Puppala V. Sagar*, Prasad KKL and Murali Krishna Voonna
Background Pancreatico-digestive anastomosis is considered to be a delicate step after major pancreatic resection. Till date, there is no strong evidence supporting a particular anastomosis. Objective To access the outcomes following pancreaticogastrostomy and pancreaticojejunostomy. Materials & Methods 55 patients who underwent major pancreatic resection with pancreatico-digestive anastomosis from 2013 to April 2021 at two centers were included for the study. Results Demographic variables were similar between the groups. POPF occurred in 5 (22.7%) patients in PJ Group and none in the PG group (p= 0.0076), DGE in 5 (22.7%) patients in PJ group vs 1 (3.03%) in the PG group (p= 0.021). Major Morbidity (Clavein Dindo Grade III or more) was not significantly significantly different between the groups (4 patients in PJ group and 2 patients in PG group, p=0.1235). Length of post-operative hospital stay was significantly more in the PJ group than PG group (12.41 ± 4.87 days vs 9.82 ± 2.24 days, p=0.01). The incidence of re-intervention was higher in the PJ group (4 in PJ vs 1 in PG, p=0.02). The rates of re-admission and mortality were not significantly between the groups. Conclusion Pancreatico-gastrostomy appears to be associated with lower incidence of pancreatic fistula, and helps in early postoperative recovery.
Received Date: 2021-09-29
