Pancreaticojejunostomy and pancreaticogastrostomy are both used for reconstruction after pancreaticoduodenectomy; which method is best is still debated. A nationwide multicentre randomized clinical trial that compared these two types of reconstruction has demonstrated that pancreaticogastrostomy is associated with a substantially lower rate of clinically relevant postoperative pancreatic fistula than pancreaticojejunostomy.
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Malleo, G., Bassi, C. Reconstruction methods after pancreaticoduodenectomy. Nat Rev Gastroenterol Hepatol 10, 445–446 (2013). https://doi.org/10.1038/nrgastro.2013.114
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DOI: https://doi.org/10.1038/nrgastro.2013.114
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