Efficacy of the Omental Roll-up Technique in Pancreaticojejunostomy as a Strategy to Prevent Pancreatic Fistula After Pancreaticoduodenectomy
DC Field | Value | Language |
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dc.contributor.author | Choi, Sae Byeol | - |
dc.contributor.author | Lee, Jin Suk | - |
dc.contributor.author | Kim, Wan Bae | - |
dc.contributor.author | Song, Tae Jin | - |
dc.contributor.author | Suh, Sung Ock | - |
dc.contributor.author | Choi, Sang Yong | - |
dc.date.accessioned | 2021-09-06T10:37:38Z | - |
dc.date.available | 2021-09-06T10:37:38Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2012-02 | - |
dc.identifier.issn | 0004-0010 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/106185 | - |
dc.description.abstract | Background: Most morbidity and mortality are caused by a pancreatic fistula after pancreaticoduodenectomy (PD), and its prevention is the major concern. We applied the omental roll-up technique around pancreaticojejunostomy and investigated the effectiveness of this technique to prevent a pancreatic fistula. Design: Retrospective study. Setting: Tertiary hepatobiliary and pancreas surgery clinic, Korea University Guro Hospital, Seoul. Patients: Between March 1, 2009, and March 31, 2011, 68 patients underwent PD. The patients were divided into 2 groups according to the surgical application of the omental roll-up technique around the PJ site: group 1 (those who did not undergo the omental roll-up technique) compared with group 2 (those who did undergo the omental roll-up technique). Main Outcome Measure: The occurrence of a pancreatic fistula. Results: No differences were noted in the clinical characteristics, including patients' demographics and operation-related factors, between the 2 groups. A pancreatic fistula occurred in 23 of 39 patients in group 1 (59%) and in 6 of 29 patients in group 2 (20.7%). Group 2 had a significantly lower incidence of pancreatic fistula (P = .002), and these fistulas were classified as being grade A using the International Study Group on Pancreatic Fistula Definition showing a transient high amylase level in the drainage fluid without significantly affecting the patient's recovery. Drain removal was performed earlier in group 2 (P < .001). Mean postoperative hospital stay was 23.4 days in group 1 compared with 15.9 days in group 2 (P = .009). Overall mortality was 1.5%; however, no deaths were related to a pancreatic fistula. Conclusions: The omental roll-up technique for the PJ site definitely reduced the occurrence of a pancreatic fistula. Therefore, the omental roll-up technique is a simple and effective strategy to prevent a pancreatic fistula. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | AMER MEDICAL ASSOC | - |
dc.subject | INTERNATIONAL STUDY-GROUP | - |
dc.subject | RISK-FACTORS | - |
dc.subject | FALCIFORM LIGAMENT | - |
dc.subject | INTESTINAL ANASTOMOSES | - |
dc.subject | DIVIDED VESSELS | - |
dc.subject | SURGERY ISGPS | - |
dc.subject | DEFINITION | - |
dc.subject | DUCT | - |
dc.subject | PANCREATICOGASTROSTOMY | - |
dc.subject | PROTECTION | - |
dc.title | Efficacy of the Omental Roll-up Technique in Pancreaticojejunostomy as a Strategy to Prevent Pancreatic Fistula After Pancreaticoduodenectomy | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Choi, Sae Byeol | - |
dc.contributor.affiliatedAuthor | Kim, Wan Bae | - |
dc.contributor.affiliatedAuthor | Song, Tae Jin | - |
dc.identifier.doi | 10.1001/archsurg.2011.865 | - |
dc.identifier.scopusid | 2-s2.0-84863115891 | - |
dc.identifier.wosid | 000300524500012 | - |
dc.identifier.bibliographicCitation | ARCHIVES OF SURGERY, v.147, no.2, pp.145 - 150 | - |
dc.relation.isPartOf | ARCHIVES OF SURGERY | - |
dc.citation.title | ARCHIVES OF SURGERY | - |
dc.citation.volume | 147 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 145 | - |
dc.citation.endPage | 150 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | INTERNATIONAL STUDY-GROUP | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | FALCIFORM LIGAMENT | - |
dc.subject.keywordPlus | INTESTINAL ANASTOMOSES | - |
dc.subject.keywordPlus | DIVIDED VESSELS | - |
dc.subject.keywordPlus | SURGERY ISGPS | - |
dc.subject.keywordPlus | DEFINITION | - |
dc.subject.keywordPlus | DUCT | - |
dc.subject.keywordPlus | PANCREATICOGASTROSTOMY | - |
dc.subject.keywordPlus | PROTECTION | - |
dc.subject.keywordAuthor | INTERNATIONAL STUDY-GROUP | - |
dc.subject.keywordAuthor | RISK-FACTORS | - |
dc.subject.keywordAuthor | FALCIFORM LIGAMENT | - |
dc.subject.keywordAuthor | INTESTINAL ANASTOMOSES | - |
dc.subject.keywordAuthor | DIVIDED VESSELS | - |
dc.subject.keywordAuthor | SURGERY ISGPS | - |
dc.subject.keywordAuthor | DEFINITION | - |
dc.subject.keywordAuthor | DUCT | - |
dc.subject.keywordAuthor | PANCREATICOGASTROSTOMY | - |
dc.subject.keywordAuthor | PROTECTION | - |
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