@article{oai:niigata-u.repo.nii.ac.jp:00006446, author = {Kurosaki, Isao and Tsukada, Kazuhiro and Takagi, Kentaro and Sugimoto, Fujio and Koyama, Takanobu and Hatakeyama, Katsuyoshi}, issue = {1}, journal = {Acta medica et biologica, Acta medica et biologica}, month = {Mar}, note = {To determine the more reliable and safer technique for pancreaticogastrostomy (PG), we compared two anastomotic techniques: one with and the other without gastrotomy. Of 23 patients consecutively undergoing PG after surgery for periampullary disease, an anastomotic leak of PG occurred in 2 of the 8 patients with PG with gastrotomy, and in one of the 15 patients with PG without gastrotomy. Anastomotic leaks in PG with gastrotomy resulted in the overflow of massive digestive contents which led to other serious complications. Aggressive suction drainage was performed, but one patient died from intraabdominal infection and bleeding. The anastomotic leak in those patients with PG without gastrotomy did not lead to any other serious complications. Therefore, PG without gastrotomy may be a safer surgical technique than PG with gastrotomy.}, pages = {23--29}, title = {A Retrospective Comparative Study of Two Anastomotic Techniques for Safer Pancreaticogastrostomy : Anastomosis with and without Gastrotomy}, volume = {44}, year = {1996} }