Effects of adding Braun jejunojejunostomy to standard Whipple procedure on reduction of afferent XXXX - a randomized clinical trial.

@entity1 @entity254 @entity260 @entity281 @entity358 @entity6124 @entity204 @entity360 @entity356
BACKGROUND: Whipple surgery (pancreaticodeudenectomy) has a high complication rate. We aimed to evaluate whether adding Braun jejunojejunostomy (side-to-side @entity254 of afferent and efferent loops distal to the gastrojejunostomy site) to a standard Whipple procedure would reduce @entity260 . METHODS: We conducted a randomized clinical trial comparing @entity1 who underwent standard Whipple surgery (standard group) and @entity1 who underwent standard Whipple surgery with Braun jejunojejunostomy (Braun group). @entity1 were followed for 1 month after the procedure and @entity260 were recorded. RESULTS: Our study included 30 @entity1 : 15 in the Braun and 15 in the standard group. In the Braun group, 4 (26.7%) @entity1 experienced 6 complications, whereas in the standard group, 7 (46.7%) @entity1 experienced 11 complications (p = 0.14). Complications in the Braun group were @entity360 and wound @entity281 (n = 1 each) and @entity356 and @entity358 (n = 2 each). Complications in the standard group were @entity204 , pancreatic @entity254 leak and biliary @entity254 leak (n = 1 each); @entity360 (n = 2); and afferent @entity6124 and @entity356 (n = 3 each). There was no significant difference between groups in the subtypes of complications. CONCLUSION: Our results showed that adding Braun jejunojejunostomy to standard Whipple procedure was associated with lower rates of afferent @entity6124 and @entity356 . However, more studies are needed to define the role of Braun jejunojejunostomy in this regard. TRIAL REGISTRATION: IRCT2014020316473N1 (www.irct.ir).
