TECHNIQUE OF FORMING INVAGINATED PANREATOJEJUNOANASTOMOSIS

Abstract

Aim. To develop the original, simple and reliable technique for forming invaginated panreatojejunoanastomosis (PJA). Materials and methods. The technique for forming invaginated PJA was developed and used in 10 patients with terminal external pancreatic fistulas (PF). The reasons for forming fistulas were the following: closed abdominal injury (6) and pancreatonecrosis (4). During the first two months, four patients were operated, the rest six - over the period from 3 months to 2,5 years. Results. The postoperative complications were developed in 2 patients: long hyperthermia (1), pancreatic fistula of proximal gland fragment (1). No cases of PJA failure were registered. Technical complexities during the surgery and the following complications appeared in patients operated for the first 3 months after PF formation. Conclusion. The suggested technique simplifies application of invaginated PJA, raises its reliability, reduces the number of postoperative complications. An optimal period for PJA formation in case of external PF is three and more months from the moment of its occurrence.

References

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Copyright (c) 2014 Kotelnikova L.P., Burnyshev I.G., Kudryavtsev P.L.

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