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Kim JM, Hong JB, Shin WY, et al. Preliminary results of binding pancreaticojejunostomy. Korean J Hepatobiliary Pancreat Surg. 2014;18(1):21-5doi: 10.14701/kjhbps.2014.18.1.21.
Kim, J. M., Hong, J. B., Shin, W. Y., Choe, Y. M., Lee, G. Y., & Ahn, S. I. (2014). Preliminary results of binding pancreaticojejunostomy. Korean journal of hepato-biliary-pancreatic surgery, 18(1), 21-5. https://doi.org/10.14701/kjhbps.2014.18.1.21
Kim, Jin Min, et al. "Preliminary results of binding pancreaticojejunostomy." Korean journal of hepato-biliary-pancreatic surgery vol. 18,1 (2014): 21-5. doi: https://doi.org/10.14701/kjhbps.2014.18.1.21
Kim JM, Hong JB, Shin WY, Choe YM, Lee GY, Ahn SI. Preliminary results of binding pancreaticojejunostomy. Korean J Hepatobiliary Pancreat Surg. 2014 Feb;18(1):21-5. doi: 10.14701/kjhbps.2014.18.1.21. Epub 2014 Feb 24. PMID: 26155242; PMCID: PMC4492331.
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Korean J Hepatobiliary Pancreat Surg. 2014 Feb;18(1):21-5. doi: 10.14701/kjhbps.2014.18.1.21. Epub 2014 Feb 24.

Preliminary results of binding pancreaticojejunostomy.

Korean journal of hepato-biliary-pancreatic surgery

Jin Min Kim, Jung Bum Hong, Woo Young Shin, Yun-Mee Choe, Gun Young Lee, Seung Ik Ahn

Affiliations

  1. Department of Surgery, Inha University Hospital, Incheon, Korea.

PMID: 26155242 PMCID: PMC4492331 DOI: 10.14701/kjhbps.2014.18.1.21

Abstract

BACKGROUNDS/AIMS: The post-operative complications and clinical course of pancreaticoduodenectomy (PD) largely depend on the pancreaticojejunostomy (PJ). Several methods of PJ are in clinical use. We analyzed the early results of binding pancreaticojejunostomy (BPJ), a technique reported by SY Peng.

METHODS: We retrospectively reviewed the clinical results of patients who received BPJ in Inha University Hospital from 2006 to 2011. 21 BPJs were performed with Peng's method. The definition of postoperative pancreatic fistula (PF) was a high amylase content (>3 times the upper normal serum value) of the drain fluid (of any measurable volume), at any time on or after the 3rd post-operative day. The pancreatic fistula was graded according to the International Study Group for Pancreatic Fistula (ISGPF) guidelines.

RESULTS: Of the 21 patients who received BPJ, 11 were male. The median age was 61.2 years. PD surgery included 4 cases of Whipple's procedures and 17 cases of pylorus-preserving PD. According to the post-operative course, 16 patients recovered well with no evidence of PF. A total of 5 patients (23.8%), including 3 grade A PFs and 2 grade C PFs, suffered from a pancreatic fistula. 3 patients with grade A PF recovered with conservative management.

CONCLUSIONS: The BPJ appears to be a relatively safe procedure based on this preliminary study, but further study is needed to validate its safety.

Keywords: Binding pancreaticojejunostomy; Pancreatic fistula; Pancreaticoduodenectomy

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