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CASE REPORT
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 51-54

Transgastric pancreaticogastrostomy: A novel technique for the management of pancreatico-enteric stenosis after pancreaticoduodenectomy


1 SIMS Institute of Gastroenterology, Hepatology and Transplantation, SIMS Hospital, Chennai, Tamil Nadu, India
2 Department of Imaging Sciences, SIMS Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Gautham Krishnamurthy
No. 1, Jawaharlal Nehru Salai, Vadapalani, Chennai . 26, Tamil Nadu
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ghep.ghep_46_21

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Pancreatico-enteric stenosis (PES) is a long-term complication following pancreaticoduodenectomy (PD). The incidence of clinically relevant PES is likely to improve with better outcomes following PD for benign and neoplasms with favorable prognosis. Endoscopy and surgical techniques have been described addressing PES with revision of pancreatico-enteric anastomosis (PEA) being the most common performed surgery. Dense adhesions in the lesser sac especially after postoperative pancreatic fistula can be prohibitive to access the PEA. We describe a technique for postPD PES, transgastric pancreaticogastrostomy, that avoids lesser sac dissection and enables performing a wide anastomosis. Thus, it has the potential to reduce postoperative morbidity.


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