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Original Article
 
A modified technique of pancreaticojejunostomy for soft pancreas reduces the frequency of postoperative complications
Rifatbegović Zijah1, Hasanović Jasmin1, Meštrić Amra2, Ahmetašević Emir1, Tursunović Amir1, Imamović Goran2
1MD, University Clinical Centre Tuzla, Department of Surgery, Tuzla, Bosnia and Herzegovina.
2MD, University of Tuzla, School of Medicine, Tuzla, Bosnia and Herzegovina.

Article ID: 100060IJHPDRZ2016
doi:10.5348/ijhpd-2016-59-OA-16

Address correspondence to:
Zijah Rifatbegović
Trnovac bb, Tuzla
Bosnia and Herzegovina

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How to cite this article
Zijah R, Jasmin H, Amra M, Emir A, Amir T, Goran I. A modified technique of pancreaticojejunostomy for soft pancreas reduces the frequency of postoperative complications. Int J Hepatobiliary Pancreat Dis 2016;6:89–95.


Abstract
Aims: The most demanding anastomosis of cephalic pancreaticoduodenectomy is pancreaticojejunostomy. In order to reduce the number of complications of pancreatico- jejunostomy, we worked to improve the technique of creating the anastomosis by modification of several aspects of the already standardized technique of creating a pancreaticojejunostomy.
Materials and Methods: Observational cohort study was conducted on 50 patients who had undergone a cephalic pancreaticoduo-denectomy due to a periampullary carcinoma in the period from January 2011 to March 2016. We analyzed the effect of the presented technique on postoperative morbidity and mortality.
Results: Of the 50 surgical patients, 31 (62%) were male. The mean age of the surgical patients was 58.8±10.08 years. Postoperative morbidity of 28% was lower than figures from literatures, which range from 35–43% (p > 0.05). Postoperative mortality was 6%, and in line with the figures from literature. Postoperative pancreatic fistula occurred in 6% of patients, which is also lower than 12.9% found in literature (p > 0.05).
Conclusion: Postoperative morbidity in patients in whom a pancreaticojejunostomy was created with presented technique, including the incidence of a postoperative pancreatic fistula, was lower, although the difference was not statistically significant.

Keywords: Pancreatic anastomosis, Pancreatic fistula, Pancreaticoduodenectomy, Pancreaticojejunostomy


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Author Contributions:
Zijah Rifatbegović – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Jasmin Hasanović – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Amra Meštic – Acquisition of data, Drafting the article, Final approval of the version to be published
Emir Ahmetašević – Acquisition of data, Analysis and interpretation of data, Drafting the article, Final approval of the version to be published
Amir Tursunović – Acquisition of data, Critical revision of the article, Final approval of the version to be published
Goran Imamović – Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Zijah Rifatbegović et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.