Letters to the Editor Annals of Surgery Volume 267, Number 3, March 2018 2. Menahem B, Guittet L, Mulliri A, et al. Pancrea- controversy of pancreatogastrostomy (PG) single- or double-layer anastomosis with ticogastrostomy is superior to pancreaticojejunos- versus pancreatojejunostomy (PJ) in pan- or without duct-to-mucosa anastomosis, tomy for prevention of pancreatic fistula after creatoduodenectomy. internal or external pancreatic duct stenting pancreaticoduodenectomy: an updated meta- analysis of randomized controlled trials. Ann Nowadays, the body of evidence or gastric partitioning. Surg. 2015;261:882–887. regarding PG and PJ can be considered one Taken together, current meta-analysis 3. El Nakeeb A, Hamdy E, Sultan AM, et al. Isolated of the strongest in visceral surgery. Besides reveals no significant difference in post-oper- Roux loop pancreaticojejunostomy versus pan- POPF, further relevant postoperative compli- ative morbidity or mortality with either PG or creaticogastrostomy after pancreaticoduodenec- cations may be reconsidered in the light of PJ. Consequently, PG or PJ might be chosen tomy: a prospective randomized study. HPB. 2014;16:713–722. the currently available RCT data. We per- depending on individual factors. As a 4. Grendar J, Ouellet JF, Sutherland FR, et al. In formed an additional meta-analysis of all 10 personal opinion, we prefer PG for the soft
Annals of Surgery – Wolters Kluwer Health
Published: Mar 1, 2018
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