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Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy

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Abstract

Potential mechanisms of occurrence of pancreatic leakage mainly include leakage from the needle hole and from the seam at the adjacent stitch, anastomotic blood supply, tension at the anastomosis, poor anastomotic healing, etc. Binding pancreaticojejunostomy (BPJ) is a safe and effective technique that avoids the primary complication of pancreatic anastomosis leakage. There are two problems with BPJ: a high discrepancy in the size of pancreas stump and the jejunal lumen; sutures on to the pancreas for fixation might cause exudation of pancreatic juice into the abdominal cavity. In order to avoid these two problems, binding pancreaticogastrostomy (BPG) is designed and successfully performed clinically with encouraging results. BPG is good for accommodating a large pancreas stump, and the binding technique is very helpful in minimizing the leak rate of pancreaticogastrostomy.

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Authors and Affiliations

  1. Department of General Surgery, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China

    Shu You Peng

  2. Department of Surgical Oncology, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, 310009, China

    Jian Wei Wang

  3. Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, 310014, China

    Shu You Peng, De Fei Hong & Yi Fan Wang

  4. Department of General Surgery, Xinhua Hospital, Jiaotong University, Shanghai, 200000, China

    Ying Bin Liu

Authors
  1. Shu You Peng
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  2. Jian Wei Wang
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  3. De Fei Hong
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  4. Ying Bin Liu
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  5. Yi Fan Wang
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Correspondence to Jian Wei Wang.

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Peng, S.Y., Wang, J.W., Fei Hong, D. et al. Binding pancreaticoenteric anastomosis: from binding pancreaticojejunostomy to binding pancreaticogastrostomy. Updates Surg 63, 69–74 (2011). https://doi.org/10.1007/s13304-011-0067-6

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  • DOI: https://doi.org/10.1007/s13304-011-0067-6

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