The role of pancreatogastrostomy following pancreatoduodenectomy for XXXX .

@entity1 @entity834 @entity190 @entity292 @entity3210 @entity130
The records of all @entity1 undergoing pancreatogastrostomy after pancreatoduodenal resection at the University of Kansas Medical Center were reviewed. Five @entity1 with a mean age of 26 years (range, 20-32 years) and severe penetrating (n = 3) or blunt (n = 2) @entity130 have required pancreatoduodenectomy followed by pancreatogastrostomy (n = 4) or pancreatogastrostomy alone (n = 1) since 1975. Their mean @entity130 Score was 12 (range, 9-16). All five @entity1 had soft, previously normal pancreatic glands without induration or ductal dilatation. The mean duration of surgery was 6 hours (range, 5-7 hours), mean @entity190 was 7200 mL (range, 1,000-17,500 mL), mean transfusion requirements were 14 units of blood (range, 2-32 units), and mean hospital stay was 37 days (range, 11-90 days). Two @entity1 developed right upper quadrant abscesses that required a second procedure. There were no pancreatic @entity834 , @entity292 , or other complications related to the pancreatogastrostomy. At last examination, all five @entity1 were alive and well and had not developed endocrine or exocrine @entity3210 after a mean follow-up of 4 years (range, 1-9 months). Pancreatogastrostomy following pancreatoduodenectomy for @entity130 has not been previously reported. Our experience demonstrates that pancreatogastrostomy is a safe and expeditious method for handling the pancreatic remnant following pancreatoduodenectomy. Furthermore, the results of this study suggest that pancreatogastrostomy has several advantages over pancreatojejunostomy for restoring pancreato-intestinal continuity in @entity130 @entity1 .
