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.	陸才德, 吳勝東, 黃靜, 等.嵌入式胰胃吻合術臨床應用分析[J].中華外科雜志, 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.	楊志豐, 陸才德.胰胃吻合術臨床應用的研究進展[J].國際外科學雜志, 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.	皮執民, 鄭澤霖.十二指腸外科[M].北京:人民衛生出版社, 2004:456-457.
8.	吳興桂, 張慶林, 李穎, 等.改良胰胃吻合在胰頭十二指腸切除術中重建消化系的應用[J].世界華人消化雜志, 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, 王許安, 劉潁斌, 等.彭氏胰胃吻合術-Ⅰ型與Ⅱ型的比較(兼論Ⅲ型和Ⅳ型)[J].外科理論與實踐, 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, 田銳, 等.雙重連續鎖邊縫合胰胃吻合術[J].中華消化外科雜志, 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.	任師顏, 董家鴻, 張文智, 等.胰腺癌胰十二指腸切除術后并發癥回顧性分析[J].肝膽外科雜志, 2008, 16(4):256-259.
17.	高新基, 陳群.胰腸吻合術后胰瘺發生因素及預防的研究進展[J].福建醫藥雜志, 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.	陸才德, 吳丹, 裘豐, 等.胰十二指腸切除術及保留十二指腸的胰頭(頸)切除術后出血原因及處理[J].中華普通外科雜志, 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.	徐澤寬, 郭峰, 苗毅, 等. 502例胰十二指腸切除術后主要并發癥的臨床分析[J].中華肝膽外科雜志, 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.	馬晉平, 林建偉, 王智, 等.胰十二指腸切除術后胰胃吻合與胰空腸吻合前瞻性對照試驗的薈萃分析[J].中華醫學雜志, 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.	馬晉平, 陳創奇, 蔡世榮, 等.胰十二指腸切除術后胰胃吻合術與胰腸吻合術的營養狀況比較[J].中華胃腸外科雜志, 2012, 15(5):457-459.

1. 陸才德, 吳勝東, 黃靜, 等.嵌入式胰胃吻合術臨床應用分析[J].中華外科雜志, 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. 楊志豐, 陸才德.胰胃吻合術臨床應用的研究進展[J].國際外科學雜志, 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. 皮執民, 鄭澤霖.十二指腸外科[M].北京:人民衛生出版社, 2004:456-457.
8. 吳興桂, 張慶林, 李穎, 等.改良胰胃吻合在胰頭十二指腸切除術中重建消化系的應用[J].世界華人消化雜志, 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, 王許安, 劉潁斌, 等.彭氏胰胃吻合術-Ⅰ型與Ⅱ型的比較(兼論Ⅲ型和Ⅳ型)[J].外科理論與實踐, 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, 田銳, 等.雙重連續鎖邊縫合胰胃吻合術[J].中華消化外科雜志, 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. 任師顏, 董家鴻, 張文智, 等.胰腺癌胰十二指腸切除術后并發癥回顧性分析[J].肝膽外科雜志, 2008, 16(4):256-259.
17. 高新基, 陳群.胰腸吻合術后胰瘺發生因素及預防的研究進展[J].福建醫藥雜志, 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. 陸才德, 吳丹, 裘豐, 等.胰十二指腸切除術及保留十二指腸的胰頭(頸)切除術后出血原因及處理[J].中華普通外科雜志, 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. 徐澤寬, 郭峰, 苗毅, 等. 502例胰十二指腸切除術后主要并發癥的臨床分析[J].中華肝膽外科雜志, 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. 馬晉平, 林建偉, 王智, 等.胰十二指腸切除術后胰胃吻合與胰空腸吻合前瞻性對照試驗的薈萃分析[J].中華醫學雜志, 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. 馬晉平, 陳創奇, 蔡世榮, 等.胰十二指腸切除術后胰胃吻合術與胰腸吻合術的營養狀況比較[J].中華胃腸外科雜志, 2012, 15(5):457-459.

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