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Inicio Cirugía Española La pancreatogastrostomía en la reconstrucción tras duodenopancreatectomía cef...
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Vol. 72. Issue 1.
Pages 14-17 (July 2002)
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Vol. 72. Issue 1.
Pages 14-17 (July 2002)
DOI: 10.1016/S0009-739X(02)71998-2
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La pancreatogastrostomía en la reconstrucción tras duodenopancreatectomía cefálica por patología maligna de la región periampular
Pancreatogastrostomy to restore pancreaticoenteric continuity after pancreatoduodenectomy for malignant disease in the periampullary region
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Vicente Pla1
Corresponding author
med008200@nacom.es

Correspondencia: Dr. V. Pla Martí. Avda. Primado Reig, 1.895. 46020 Valencia
, M. Dolores Ruiz
Antonio Pallasb, Cristina Fernándeza, Carlos Florsc, José Vicente Roigd
a MIR
b Médico adjunto
c Jefe de Sección
d Jefe de Servicio. Servicio de Cirugía General y del Aparato Digestivo. Hospital de Sagunto
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Resumen
Introducción

La pancreatogastrostomía (PG) para restablecer la continuidad pancreatoentérica tras duodenopancreatectomía cefálica (DPC) ha sido recomendada por algunos cirujanos basándose en las ventajas funcionales y prácticas de este procedimiento sobre la pancreatoyeyunostomía. El propósito de este estudio fue determinar si la PG es una alternativa segura en la DPC.

Método

A 16 pacientes (12 varones y 4 mujeres) se les realizó PG tras DPC por carcinomas periampulares entre septiembre de 1996 y octubre de 2000.

Resultados

La morbilidad fue del 43% sin mortalidad hospitalaria. El índice total de fístulas pancreáticas fue del 6%. La proporción de reintervenciones fue del 19%, un caso por hemorragia del muñón pancreático.

Conclusión

La PG es un procedimiento seguro en la de DPC con cifras de morbilidad y mortalidad bajas.

Palabras clave:
Pancreatogastrostomía
Fístula pancreática
Duodenopancreatectomía
Introduction

Pancreatogastrostomy (PG) to restore pancreaticoenteric continuity after pancreatoduodenectomy (PD) has been recommended by some surgeons because of the functional and practical advantages of this procedure over pancreatojejunostomy. The purpose of this study was to determine whether PG is a safe alternative in PD.

Methods

Sixteen patients (12 men and 4 women) underwent PG following PD for periampullary carcinomas between September 1996 and October 2000.

Results

The morbidity rate was 43% with no hospital mortality. The overall rate of pancreatic fistula was 6%. The reoperation rate was 19%; one case was due to bleeding at the pancreatic margin.

Conclusion

PG is a safe procedure in PD with low morbidity and mortality rates.

Key words:
Pancreatogastrostomy
Pancreatic fistula
Duodenopancreatectomy
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