Research Progress in Application and Complications of Pancreaticogastrostomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIZhi-peng , ZHENGWanren , LIYan ,  ZENGZhao-lin

Department of Hepatic Surgery, The Second Affiliated Hospital, Harbin Medical University, Harbin 150086, Helongjiang Province, China;

Corresponding author：

ZENGZhao-lin, Email: zengzhaolin999@sina.Com

Keywords：

Pancreaticoduodenectomy; Pancreaticogastrostomy; Pancreaticojejunostomy; Complications

DOI：

10.7507/1007-9424.20140248

Video：

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Objective To summarize the application and the complications of pancreaticogastrostomy (PG) after pancreaticoduodenectomy(PD). Method The domestic and international publications involving the theory, methods, and clinical application of PG were retrieved and reviewed. Results PG was gradually concerned on the choice of the method of the digestive tract reconstruction after PD, in view of its advantages in theory and operation. The literatures about PG were increased in recent years. But the discussion of decreasing complications of PG after PD had yet to be unified. Conclusions PG is one of the important operations of digestive tract reconstruction after PD. The factors of operator and patient should be comprehensively considered in the choice of PG.

Citation： LIZhi-peng, ZHENGWanren, LIYan, ZENGZhao-lin. Research Progress in Application and Complications of Pancreaticogastrostomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(8): 1034-1039. doi: 10.7507/1007-9424.20140248 Copy

1.	陆才德, 吴胜东, 黄静, 等.嵌入式胰胃吻合术临床应用分析[J].中华外科杂志, 2013, 51(8):757-759.
2.	Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater[J]. Ann Surg, 1935, 102(4):763-779.
3.	杨志丰, 陆才德.胰胃吻合术临床应用的研究进展[J].国际外科学杂志, 2013, 40(5):332-335.
4.	McKay A, Mackenzie S, Sutherland FR, et al. Meta-analysis of pancreaticojejunostomy versus pancreaticogastrostomy recon-struction after pancreaticoduodenectomy[J]. Br J Surg, 2006, 93(8):929-936.
5.	Takao S, Shinchi H. Pancreaticogastrostomy:a pancreas-transfixing method with duct-to-mucosa anastomosis (with video)[J]. J Hepatobiliary Pancreat Sci, 2012, 19(2):131-134.
6.	Waugh JM, Clagett OT. Resection of the duodenum and head of the pancreas for carcinoma; an analysis of thirty cases[J]. Surgery, 1946, 20:224-232.
7.	皮执民, 郑泽霖.十二指肠外科[M].北京:人民卫生出版社, 2004:456-457.
8.	吴兴桂, 张庆林, 李颖, 等.改良胰胃吻合在胰头十二指肠切除术中重建消化系的应用[J].世界华人消化杂志, 2009, 17(31):3259-3262.
9.	Bartsch DK, Langer P, Kanngieber V, et al. A simple and safe anastomosis for pancreatogastrostomy using one binding purse-string and two transfixing mattress sutures[J]. Int J Surg Oncol, 2012, 2012:1-7.
10.	彭淑牖, 王许安, 刘颍斌, 等.彭氏胰胃吻合术-Ⅰ型与Ⅱ型的比较(兼论Ⅲ型和Ⅳ型)[J].外科理论与实践, 2009, 14(5):505-509.
11.	Takano S, Ito Y, Watanabe Y, et al. Pancreaticojejunostomy versus pancreaticogastrostomy in reconstruction following pancreaticoduodenectomy[J]. Br J Surg, 2000, 87(4):423-427.
12.	Aranha GV, Hodul PJ, Creech S, et al. Zero mortality after 152 consecutive pancreaticoduodenectomies with pancreaticogastrostomy[J]. J Am Coll Surg, 2003, 197(2):223-232.
13.	朱峰, 王敏, 田锐, 等.双重连续锁边缝合胰胃吻合术[J].中华消化外科杂志, 2013, 12(2):120-123.
14.	Telford GL, Mason GR. Pancreaticogastrostomy:clinical experience with a direct pancreatic-duct-to-gastric-mucosa anastomosis[J]. Am J Surg, 1984, 147(6):832-837.
15.	Callery MP, Pratt WB, Vollmer C Jr. Prevention and management of pancreatic fistula[J]. J Gastrointest Surg, 2009, 13(1):163-173.
16.	任师颜, 董家鸿, 张文智, 等.胰腺癌胰十二指肠切除术后并发症回顾性分析[J].肝胆外科杂志, 2008, 16(4):256-259.
17.	高新基, 陈群.胰肠吻合术后胰瘘发生因素及预防的研究进展[J].福建医药杂志, 2011, 33(1):142-143, 148.
18.	Takao S, Shimazu H, Maenohara S, et al. Modified pancreaticogastrostomy following pancreaticoduodenectomy[J]. Am J Surg, 1993, 165(3):317-321.
19.	Zhu F, Wang M, Wang X, et al. Modified technique of pancreaticogastrostomy for soft pancreas with two continuous hemstitch sutures:a single-center prospective study[J]. J Gastrointest Surg, 2013, 17(7):1306-1311.
20.	Fernández-Cruz L, Cosa R, Blanco L, et al. Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoduodenectomy versus conventional pancreatojejunostomy:a prospective randomized study[J]. Ann Surg, 2008, 248(6):930-938.
21.	Zhu YP, Zhou W, Zhang NY, et al. A new technique of meshreinforced pancreaticogastrostomy:report of 13 initial cases[J]. J Laparoendosc Adv Surg Tech A, 2013, 23(7):617-620.
22.	Berger AC, Howard TJ, Kennedy EP, et al. Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial[J]. J Am Coll Surg, 2009, 208(5):738-749.
23.	Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula:an international study group (ISGPF) definition[J]. Surgery, 2005, 138(1):8-13.
24.	Park YC, Kim SW, Jang JY, et al. Factors influencing delayed gastric emptying after pylorus-preserving pancreatoduodenectomy[J]. J Am Coll Surg, 2003, 196(6):859-865.
25.	陆才德, 吴丹, 裘丰, 等.胰十二指肠切除术及保留十二指肠的胰头(颈)切除术后出血原因及处理[J].中华普通外科杂志, 2007, 22(12):899-901.
26.	Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy:a prospective randomized trial[J]. Ann Surg, 2007, 245(5):692-698.
27.	徐泽宽, 郭峰, 苗毅, 等. 502例胰十二指肠切除术后主要并发症的临床分析[J].中华肝胆外科杂志, 2009, 15(11):809-812.
28.	Mason GR. Pancreatogastrostomy as reconstruction for pancreatoduodenectomy:review[J]. World J Surg, 1999, 23(3):221-226.
29.	Bassi C, Butturini G, Molinari E, et al. Pancreatic fistula rate after pancreatic resection. The importance of definitions[J]. Dig Surg, 2004, 21(1):54-59.
30.	Duffas JP, Suc B, Msika S, et al; French Associations for Research in Surgery. A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy[J]. Am J Surg, 2005, 189(6):720-729.
31.	Nakao A, Fujii T, Sugimoto H, et al. Is pancreaticogastrostomy safer than pancreaticojejunostomy?[J]. J Hepatobiliary Pancreat Surg, 2006, 13(3):202-206.
32.	Makni A, Bedioui H, Jouini M, et al. Pancreaticojejunostomy vs. pancreaticogastrostomy following pancreaticoduodenectomy:results of comparative study[J]. Minerva Chir, 2011, 66(4):295-302.
33.	Ma JP, Peng L, Qin T, et al. Meta-analysis of pancreaticoduodenectomy prospective controlled trials:pancreaticogastrostomy versus pancreaticojejunostomy reconstruction[J]. Chin Med J (Engl), 2012, 125(21):3891-3897.
34.	Aranha GV, Hodul P, Golts E, et al. A comparison of pancreaticogastrostomy and pancreaticojejunostomy following pancreaticoduodenectomy[J]. J Gastrointest Surg, 2003, 7(5):672-682.
35.	Aroori S, Puneet P, Bramhall SR, et al. Outcomes comparing a pancreaticogastrostomy (PG) and a pancreaticojejunostomy (PJ) after a pancreaticoduodenectomy (PD)[J]. HPB (Oxford), 2011, 13(10):723-731.
36.	Shen YF, Jin WY. Reconstruction by pancreaticogastrostomy versus pancreaticojejunostomy following pancreaticoduodenectomy:A Meta-Analysis of Randomized Controlled Trials[J]. Gastroenterol Res Pract, 2012, 2012:1-7.
37.	马晋平, 林建伟, 王智, 等.胰十二指肠切除术后胰胃吻合与胰空肠吻合前瞻性对照试验的荟萃分析[J].中华医学杂志, 2011, 91(42):2990-2994.
38.	Topal B, Fieuws S, Aerts R, et al. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours:a multicentre randomised trial[J]. Lancet Oncol, 2013, 14(7):655-662.
39.	He T, Zhao Y, Chen Q, et al. Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy:A Systematic Review and Meta-Analysis[J]. Dig Surg, 2013, 30(1):56-69.
40.	Rault A, SaCunha A, Klopfenstein D, et al. Pancreaticojejunal-anastomosis is preferable to pancreaticogastrostomy after pancreaticoduodenectomy for longterm outcomes of pancreatic exocrine function[J]. J Am Coll Surg, 2005, 201(2):239-244.
41.	Ishikawa O, Ohigashi H, Eguchi H, et al. Long-term follow-up of glucose tolerance function after pancreaticoduodenectomy: comparison between pancreaticogastrostomy and pancreaticojejunostomy[J]. Surgery, 2004, 136(3):617-623.
42.	Fang WL, Su CH, Shyr YM, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy[J]. Pancreas, 2007, 35(4):361-365.
43.	Kim JH, Yoo BM, Kim JH, et al. Which method should we select for pancreatic anastomosis after pancreaticoduodenectomy?[J]. World J Surg, 2009, 33(2):326-332.
44.	马晋平, 陈创奇, 蔡世荣, 等.胰十二指肠切除术后胰胃吻合术与胰肠吻合术的营养状况比较[J].中华胃肠外科杂志, 2012, 15(5):457-459.

1. 陆才德, 吴胜东, 黄静, 等.嵌入式胰胃吻合术临床应用分析[J].中华外科杂志, 2013, 51(8):757-759.
2. Whipple AO, Parsons WB, Mullins CR. Treatment of carcinoma of the ampulla of Vater[J]. Ann Surg, 1935, 102(4):763-779.
3. 杨志丰, 陆才德.胰胃吻合术临床应用的研究进展[J].国际外科学杂志, 2013, 40(5):332-335.
4. McKay A, Mackenzie S, Sutherland FR, et al. Meta-analysis of pancreaticojejunostomy versus pancreaticogastrostomy recon-struction after pancreaticoduodenectomy[J]. Br J Surg, 2006, 93(8):929-936.
5. Takao S, Shinchi H. Pancreaticogastrostomy:a pancreas-transfixing method with duct-to-mucosa anastomosis (with video)[J]. J Hepatobiliary Pancreat Sci, 2012, 19(2):131-134.
6. Waugh JM, Clagett OT. Resection of the duodenum and head of the pancreas for carcinoma; an analysis of thirty cases[J]. Surgery, 1946, 20:224-232.
7. 皮执民, 郑泽霖.十二指肠外科[M].北京:人民卫生出版社, 2004:456-457.
8. 吴兴桂, 张庆林, 李颖, 等.改良胰胃吻合在胰头十二指肠切除术中重建消化系的应用[J].世界华人消化杂志, 2009, 17(31):3259-3262.
9. Bartsch DK, Langer P, Kanngieber V, et al. A simple and safe anastomosis for pancreatogastrostomy using one binding purse-string and two transfixing mattress sutures[J]. Int J Surg Oncol, 2012, 2012:1-7.
10. 彭淑牖, 王许安, 刘颍斌, 等.彭氏胰胃吻合术-Ⅰ型与Ⅱ型的比较(兼论Ⅲ型和Ⅳ型)[J].外科理论与实践, 2009, 14(5):505-509.
11. Takano S, Ito Y, Watanabe Y, et al. Pancreaticojejunostomy versus pancreaticogastrostomy in reconstruction following pancreaticoduodenectomy[J]. Br J Surg, 2000, 87(4):423-427.
12. Aranha GV, Hodul PJ, Creech S, et al. Zero mortality after 152 consecutive pancreaticoduodenectomies with pancreaticogastrostomy[J]. J Am Coll Surg, 2003, 197(2):223-232.
13. 朱峰, 王敏, 田锐, 等.双重连续锁边缝合胰胃吻合术[J].中华消化外科杂志, 2013, 12(2):120-123.
14. Telford GL, Mason GR. Pancreaticogastrostomy:clinical experience with a direct pancreatic-duct-to-gastric-mucosa anastomosis[J]. Am J Surg, 1984, 147(6):832-837.
15. Callery MP, Pratt WB, Vollmer C Jr. Prevention and management of pancreatic fistula[J]. J Gastrointest Surg, 2009, 13(1):163-173.
16. 任师颜, 董家鸿, 张文智, 等.胰腺癌胰十二指肠切除术后并发症回顾性分析[J].肝胆外科杂志, 2008, 16(4):256-259.
17. 高新基, 陈群.胰肠吻合术后胰瘘发生因素及预防的研究进展[J].福建医药杂志, 2011, 33(1):142-143, 148.
18. Takao S, Shimazu H, Maenohara S, et al. Modified pancreaticogastrostomy following pancreaticoduodenectomy[J]. Am J Surg, 1993, 165(3):317-321.
19. Zhu F, Wang M, Wang X, et al. Modified technique of pancreaticogastrostomy for soft pancreas with two continuous hemstitch sutures:a single-center prospective study[J]. J Gastrointest Surg, 2013, 17(7):1306-1311.
20. Fernández-Cruz L, Cosa R, Blanco L, et al. Pancreatogastrostomy with gastric partition after pylorus-preserving pancreatoduodenectomy versus conventional pancreatojejunostomy:a prospective randomized study[J]. Ann Surg, 2008, 248(6):930-938.
21. Zhu YP, Zhou W, Zhang NY, et al. A new technique of meshreinforced pancreaticogastrostomy:report of 13 initial cases[J]. J Laparoendosc Adv Surg Tech A, 2013, 23(7):617-620.
22. Berger AC, Howard TJ, Kennedy EP, et al. Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial[J]. J Am Coll Surg, 2009, 208(5):738-749.
23. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula:an international study group (ISGPF) definition[J]. Surgery, 2005, 138(1):8-13.
24. Park YC, Kim SW, Jang JY, et al. Factors influencing delayed gastric emptying after pylorus-preserving pancreatoduodenectomy[J]. J Am Coll Surg, 2003, 196(6):859-865.
25. 陆才德, 吴丹, 裘丰, 等.胰十二指肠切除术及保留十二指肠的胰头(颈)切除术后出血原因及处理[J].中华普通外科杂志, 2007, 22(12):899-901.
26. Peng SY, Wang JW, Lau WY, et al. Conventional versus binding pancreaticojejunostomy after pancreaticoduodenectomy:a prospective randomized trial[J]. Ann Surg, 2007, 245(5):692-698.
27. 徐泽宽, 郭峰, 苗毅, 等. 502例胰十二指肠切除术后主要并发症的临床分析[J].中华肝胆外科杂志, 2009, 15(11):809-812.
28. Mason GR. Pancreatogastrostomy as reconstruction for pancreatoduodenectomy:review[J]. World J Surg, 1999, 23(3):221-226.
29. Bassi C, Butturini G, Molinari E, et al. Pancreatic fistula rate after pancreatic resection. The importance of definitions[J]. Dig Surg, 2004, 21(1):54-59.
30. Duffas JP, Suc B, Msika S, et al; French Associations for Research in Surgery. A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy[J]. Am J Surg, 2005, 189(6):720-729.
31. Nakao A, Fujii T, Sugimoto H, et al. Is pancreaticogastrostomy safer than pancreaticojejunostomy?[J]. J Hepatobiliary Pancreat Surg, 2006, 13(3):202-206.
32. Makni A, Bedioui H, Jouini M, et al. Pancreaticojejunostomy vs. pancreaticogastrostomy following pancreaticoduodenectomy:results of comparative study[J]. Minerva Chir, 2011, 66(4):295-302.
33. Ma JP, Peng L, Qin T, et al. Meta-analysis of pancreaticoduodenectomy prospective controlled trials:pancreaticogastrostomy versus pancreaticojejunostomy reconstruction[J]. Chin Med J (Engl), 2012, 125(21):3891-3897.
34. Aranha GV, Hodul P, Golts E, et al. A comparison of pancreaticogastrostomy and pancreaticojejunostomy following pancreaticoduodenectomy[J]. J Gastrointest Surg, 2003, 7(5):672-682.
35. Aroori S, Puneet P, Bramhall SR, et al. Outcomes comparing a pancreaticogastrostomy (PG) and a pancreaticojejunostomy (PJ) after a pancreaticoduodenectomy (PD)[J]. HPB (Oxford), 2011, 13(10):723-731.
36. Shen YF, Jin WY. Reconstruction by pancreaticogastrostomy versus pancreaticojejunostomy following pancreaticoduodenectomy:A Meta-Analysis of Randomized Controlled Trials[J]. Gastroenterol Res Pract, 2012, 2012:1-7.
37. 马晋平, 林建伟, 王智, 等.胰十二指肠切除术后胰胃吻合与胰空肠吻合前瞻性对照试验的荟萃分析[J].中华医学杂志, 2011, 91(42):2990-2994.
38. Topal B, Fieuws S, Aerts R, et al. Pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy for pancreatic or periampullary tumours:a multicentre randomised trial[J]. Lancet Oncol, 2013, 14(7):655-662.
39. He T, Zhao Y, Chen Q, et al. Pancreaticojejunostomy versus pancreaticogastrostomy after pancreaticoduodenectomy:A Systematic Review and Meta-Analysis[J]. Dig Surg, 2013, 30(1):56-69.
40. Rault A, SaCunha A, Klopfenstein D, et al. Pancreaticojejunal-anastomosis is preferable to pancreaticogastrostomy after pancreaticoduodenectomy for longterm outcomes of pancreatic exocrine function[J]. J Am Coll Surg, 2005, 201(2):239-244.
41. Ishikawa O, Ohigashi H, Eguchi H, et al. Long-term follow-up of glucose tolerance function after pancreaticoduodenectomy: comparison between pancreaticogastrostomy and pancreaticojejunostomy[J]. Surgery, 2004, 136(3):617-623.
42. Fang WL, Su CH, Shyr YM, et al. Functional and morphological changes in pancreatic remnant after pancreaticoduodenectomy[J]. Pancreas, 2007, 35(4):361-365.
43. Kim JH, Yoo BM, Kim JH, et al. Which method should we select for pancreatic anastomosis after pancreaticoduodenectomy?[J]. World J Surg, 2009, 33(2):326-332.
44. 马晋平, 陈创奇, 蔡世荣, 等.胰十二指肠切除术后胰胃吻合术与胰肠吻合术的营养状况比较[J].中华胃肠外科杂志, 2012, 15(5):457-459.

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Research Progress in Application and Complications of Pancreaticogastrostomy

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