Assuntos
Doenças do Íleo/diagnóstico , Volvo Intestinal/diagnóstico , Doenças do Colo Sigmoide/diagnóstico , Adulto , Feminino , Humanos , Doenças do Íleo/epidemiologia , Doenças do Íleo/cirurgia , Obstrução Intestinal/diagnóstico , Obstrução Intestinal/epidemiologia , Obstrução Intestinal/etiologia , Obstrução Intestinal/cirurgia , Volvo Intestinal/epidemiologia , Volvo Intestinal/cirurgia , Masculino , Pessoa de Meia-Idade , Doenças do Colo Sigmoide/epidemiologia , Doenças do Colo Sigmoide/cirurgiaRESUMO
The risk of pancreaticojejunal anastomosis fistulization represents the main factor of mortality and morbidity after pancreatic resection. The pancreatogastrostomy represents a technical alternative that can be achieved easily. The purpose of our study is to report our experience of this technique and to analyse respectively 40 pancreactogastric anastomosis after 29 cephalic duodenopancreatectomies and 11 corporeocaudal pancreatectomies. The operative sequelae have been characterized by 5 cases (12.5%) of digestive hemorrhages, 3 cases (7.5%) of pancreatic fistula, 3 cases (7.5%) of intra-abdominal bleeding and a lymphorrhagia (2.5%). The operative mortality rate was about 5% (2 cases). These results are similar to the results reported in the literature by the users of this technique.