NOTA CLÍNICA. Encefalopatía de Wernicke tras duodenopancreatectomía cefálica. Wernicke’s encephalopathy after cephalic pancreaticoduodenectomy. duodenopancreatectomía cefálica o cirugía de Whipple. El cáncer de páncreas es el más frecuente de estos tumores. Es un tumor de comportamiento muy. La cirugía con la técnica de Whipple, o duodenopancreatectomía, es la cirugía que se realiza con mayor frecuencia para el cáncer de páncreas. En un.

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World J Gastrointest Oncol.

Reconstruction after pancreatoduodenectomy: Pancreatojejunostomy vs pancreatogastrostomy

All patients underwent oncological PD between January and February Am J Roentgenol ; We used a two layers for pancrato-jejuno anastomoses: Perioperative mortality for pancreatectomy: Suturing can be performed from the posterior gastric surface or from the inside of the gastric cavity through an anterior gastrostomy[ 33 ].

Changes dduodenopancreatectomia morbidity after pancreatic resection: Gastrointest Endosc, 74pp. For this reason, the pancreatic surgeon should have an extensive knowledge of hepatic arterial anatomy and its possible variants. National Center for Biotechnology InformationU. Anastomotic variants Several alternatives to the above techniques have been described, all aiming to reduce the occurrence of a fistula and its consequences: Types of pancreatogastrostomies Basically, three types of PG have been described: A randomized, prospective, dual-institution trial.


Variability of the extrahepatic arterial anatomy in hepatic grafts.

Updates Surg, 66pp. The best method to deal with the pancreatic stump after PD remains in question even. The impact of internal or external transanastomotic pancreatic duct stents following pancreaticojejunostomy. This name is reserved today to the resection of the pancreatic head and accompanying biliodigestive structures: To avoid bias we have established these criteria; patients diagnosed of periampullary malignancy ampulloma, adenocarcinoma of the pancreas or duodenum, neuroendocrine tumors and distal cholangiocarcinomas that undergone an oncologic PD or total pancreatectomy.

Best Pract Res Clin Gastroenterol. For this, the side walls of the jejunum are fixed to the pancreatic capsule in order to cover the bed section.

Comparison of both techniques To compare both techniques of reconstruction, five randomized trials[ 39 cfalica, 5254 – 56 ] and several meta-analysis and systematic reviews[ 16225357 – 64 ] have been published in the recent years. R0 resection was performed in all patients with a hepatic artery arising from superior mesenteric artery. Resection cefaliica the duodenum and head of the pancreas for carcinoma; an analysis of thirty cases.

Allendorf JD, Bellemare S. The aim of this work was to compare the two most frequent techniques of reconstruction after PD, pancreatojejunostomy PJ and pancreatogastrostomy PG duodenopancreatectkmia order to determine which of the two is better. There are many arterial reconstructive techniques for the RHA after section.


In conclusion, up to now none of the techniques can be considered as superior and recommended as standard for reconstruction after PD.

Am Surg, 59pp. The lack of a uniform technique for PG raises the same controversy as for PJ, since different operative procedures could reasonably lead to different complications.

Reconstruction method after pancreaticoduodenectomy. Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula?

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Operational criteria for the classification of chronic alcoholics: Statistical analysis was performed with SPSS version We report a case in a young patient who underwent a cephalic duodenopancreatectomy with a bleeding duodenal ulcer refractory to duodenopancretectomia and surgical treatment, requiring total parenteral nutrition, without thiamine supplementation.

J Vasc Interv Radiol, 13pp. The implications of the loss of hepatic arterial flow are well known in liver transplantation 4.

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