The American Journal of Surgery
Volume 193, Issue 2 , Pages 171-183 , February 2007

Pancreaticojejunostomy versus pancreaticogastrostomy: systematic review and meta-analysis

  • Moritz N. Wente, M.D., M.Sc.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Shailesh V. Shrikhande, M.D.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • Department of Gastrointestinal Surgical Oncology, Tata Memorial Hospital, Mumbai, India
    • ,
  • Michael W. Müller, M.D.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Markus K. Diener, M.D.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Christoph M. Seiler, M.D., M.Sc.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Helmut Friess, M.D.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • ,
  • Markus W. Büchler, M.D.

      Affiliations

    • Department of General, Visceral and Trauma Surgery, University of Heidelberg, Heidelberg, Germany
    • Corresponding Author InformationCorresponding author. Tel.: +49-6221-56-6201; fax: +49-6221-56-5450.

Received 10 August 2006 ,Revised 11 October 2006

References 

  1. Shrikhande SV, Qureshi SS, Rajneesh N, Shukla PJ. Pancreatic anastomoses after pancreaticoduodenectomy: do we need further studies?. World J Surg. 2005;29:1642–1649
  2. Schafer M, Mullhaupt B, Clavien PA. Evidence-based pancreatic head resection for pancreatic cancer and chronic pancreatitis. Ann Surg. 2002;236:137–148
  3. Fernandez-del Castillo C, Rattner DW, Warshaw AL. Standards for pancreatic resection in the 1990s. Arch Surg. 1995;130:295–299
  4. Yeo CJ, Cameron JL, Sohn TA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg. 1997;226:248–257
  5. Buchler MW, Friess H, Wagner M, et al. Pancreatic fistula after pancreatic head resection. Br J Surg. 2000;87:883–889
  6. Haynes RB, Wilczynski N, McKibbon KA, et al. Developing optimal search strategies for detecting clinically sound studies in MEDLINE. J Am Med Inform Assoc. 1994;1:447–458
  7. Moher D, Cook DJ, Eastwood S, et al. QUOROM Group Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. Br J Surg. 2000;87:1448–1454
  8. Stroup DF, Berlin JA, Morton SC, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting (Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group). JAMA. 2000;283:2008–2012
  9. Higgins JP, Thompson SG. Quantifiying heterogeneity in meta-analysis. Stat Med. 2002;21:1539–1558
  10. DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7:177–188
  11. Demets DL. Methods for combining randomized clinical trials: strengths and limitations. Stat Med. 1987;6:341–350
  12. Sterne J, Egger M, Smith G. Investigating and dealing with publication and other biases in meta-analysis. BMJ. 2001;325:101–105
  13. Yeo CJ, Cameron JL, Maher MM, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Ann Surg. 1995;222:580–588
  14. Duffas JP, Suc B, Msika S, et al. A controlled randomized multicenter trial of pancreatogastrostomy or pancreatojejunostomy after pancreatoduodenectomy. Am J Surg. 2005;189:720–729
  15. Bassi C, Falconi M, Molinari E, et al. Reconstruction by pancreaticojejunostomy versus pancreaticogastrostomy following pancreatectomy: results of a comparative study. Ann Surg. 2005;242:767–771
  16. Ramesh H, Thomas PG. Pancreaticojejunostomy versus pancreaticogastrostomy in reconstruction following pancreaticoduodenectomy. Aust N Z J Surg. 1990;60:973–976
  17. Miyagawa S, Makuuchi M, Lygidakis NJ, et al. A retrospective comparative study of reconstructive methods following pancreaticoduodenectomy–pancreaticojejunostomy vs. pancreaticogastrostomy. Hepatogastroenterology. 1992;39:381–384
  18. Morris DM, Ford RS. Pancreaticogastrostomy: preferred reconstruction for Whipple resection. J Surg Res. 1993;54:122–125
  19. Mason GR, Freeark RJ. Current experience with pancreatogastrostomy. Am J Surg. 1995;169:217–219
  20. Gvalani AK. Pancreaticogastrostomy versus pancreaticojejunostomy following pancreaticoduodenectomy for periampullary carcinoma. Indian J Gastroenterol. 1996;15:132–134
  21. Kim SW, Youk EG, Park YH. Comparison of pancreatogastrostomy and pancreatojejunostomy after pancreatoduodenectomy performed by one surgeon. World J Surg. 1997;21:640–643
  22. Arnaud JP, Tuech JJ, Cervi C, Bergamaschi R. Pancreaticogastrostomy compared with pancreaticojejunostomy after pancreaticoduodenectomy. Eur J Surg. 1999;165:357–362
  23. Takano S, Ito Y, Watanabe Y, et al. Pancreaticojejunostomy versus pancreaticogastrostomy in reconstruction following pancreaticoduodenectomy. Br J Surg. 2000;87:423–427
  24. Fujino Y, Suzuki Y, Ajiki T, et al. Risk factors influencing pancreatic leakage and the mortality after pancreaticoduodenectomy in a medium-volume hospital. Hepatogastroenterology. 2002;49:1124–1129
  25. Schlitt HJ, Schmidt U, Simunec D, et al. Morbidity and mortality associated with pancreatogastrostomy and pancreatojejunostomy following partial pancreatoduodenectomy. Br J Surg. 2002;89:1245–1251
  26. Aranha GV, Hodul P, Golts E, et al. A comparison of pancreaticogastrostomy and pancreaticojejunostomy following pancreaticoduodenectomy. J Gastrointest Surg. 2003;7:672–682
  27. Hoshal VL, Benedict MB, David LR, Kulick J. Personal experience with the Whipple operation: outcomes and lessons learned. Am Surg. 2004;70:121–125
  28. Oussoultzoglou E, Bachellier P, Bigourdan JM, et al. Pancreaticogastrostomy decreased relaparotomy caused by pancreatic fistula after pancreaticoduodenectomy compared with pancreaticojejunostomy. Arch Surg. 2004;139:327–335
  29. Ohwada S, Ogawa T, Kawate S, et al. Results of duct-to-mucosa pancreaticojejunostomy for pancreaticoduodenectomy Billroth I type reconstruction in 100 consecutive patients. J Am Coll Surg. 2001;193:29–35
  30. Adam U, Makowiec F, Riediger H, et al. Risk factors for complications after pancreatic head resection. Am J Surg. 2004;187:201–208
  31. Wagner M, Redaelli C, Lietz M, et al. Curative resection is the single most important factor determining outcome in patients with pancreatic adenocarcinoma. Br J Surg. 2004;91:586–594
  32. Bassi C, Stocken DD, Olah A, et al. Influence of surgical resection and post-operative complications on survival following adjuvant treatment for pancreatic cancer in the ESPAC-1 randomized controlled trial. Dig Surg. 2005;22:353–363
  33. Connor S, Alexakis N, Garden OJ, et al. Meta-analysis of the value of somatostatin and its analogues in reducing complications associated with pancreatic surgery. Br J Surg. 2005;92:1059–1067
  34. Icard P, Dubois F. Pancreaticogastrostomy following pancreatoduodenectomy. Ann Surg. 1988;207:253–256
  35. Pain JA, Knight MJ. Pancreaticogastrostomy: the preferred operation for pain relief in chronic pancreatitis. Br J Surg. 1988;75:220–222
  36. Delcore R, Thomas JH, Pierce GE, Hermreck AS. Pancreatogastrostomy: a safe drainage procedure after pancreatoduodenectomy. Surgery. 1990;108:641–645
  37. Madiba TE, Thomson SR. Restoration of continuity following pancreaticoduodenectomy. Br J Surg. 1995;82:158–165
  38. Tamm EP, Jones B, Yeo CJ, et al. Pancreaticogastrostomy and the Whipple procedure: radiographic appearance and complications. Radiology. 1995;196:251–255
  39. Fabre JM, Arnaud JP, Navarro F, et al. Results of pancreatogastrostomy after pancreatoduodenectomy in 160 consecutive patients. Br J Surg. 1998;85:751–754
  40. Ihse I, Axelson J, Hansson L. Pancreaticogastrostomy after subtotal pancreatectomy for cancer. Dig Surg. 1999;16:389–392
  41. Konishi M, Ryu M, Kinoshita T, Inoue K. Pathophysiology after pylorus-preserving pancreatoduodenectomy: a comparative study of pancreatogastrostomy and pancreatojejunostomy. Hepatogastroenterology. 1999;46:1181–1186
  42. Blanc-Louvry I, Ducrotte P, Peillon C, et al. Upper jejunal motility after pancreatoduodenectomy according to the type of anastomosis, pancreaticojejunal or pancreaticogastric. J Am Coll Surg. 1999;188:261–270
  43. Zenilman ME. Use of pancreaticogastrostomy for pancreatic reconstruction after pancreaticoduodenectomy. J Clin Gastroenterol. 2000;31:11–18
  44. Ong HS, Ng EH, Heng G, Soo KC. Pancreaticoduodenectomy with pancreaticogastrostomy: assessment of patients’ nutritional status, quality of life and pancreatic exocrine function. Aust N Z J Surg. 2000;70:199–203
  45. O’Neil S, Pickleman J, Aranha GV. Pancreaticogastrostomy following pancreaticoduodenectomy: review of 102 consecutive cases. World J Surg. 2001;25:567–571
  46. Jang JY, Kim SW, Park SJ, Park YH. Comparison of the functional outcome after pylorus-preserving pancreatoduodenectomy: pancreatogastrostomy and pancreatojejunostomy. World J Surg. 2002;26:366–371
  47. Shyr YM, Chen TH, Su CH, et al. Non-stented pancreaticogastrostomy for 111 patients undergoing pylorus-preserving pancreaticoduodenectomy. Hepatogastroenterology. 2005;52:253–257
  48. Standop J, Overhaus M, Schaefer N, et al. Pancreatogastrostomy after pancreatoduodenectomy: a safe, feasible reconstruction method?. World J Surg. 2005;29:505–512
  49. Rault A, SaCunha A, Klopfenstein D, et al. Pancreaticojejunal anastomosis is preferable to pancreaticogastrostomy after pancreaticoduodenectomy for longterm outcomes of pancreatic exocrine function. J Am Coll Surg. 2005;201:239–244
  50. Tani M, Kawai M, Terasawa H, et al. Complications with reconstruction procedures in pylorus-preserving pancreaticoduodenectomy. World J Surg. 2005;29:881–884
  51. Langrehr JM, Bahra M, Jacob D, et al. Prospective randomized comparison between a new mattress technique and Cattell (duct-to-mucosa) pancreaticojejunostomy for pancreatic resection. World J Surg. 2005;29:1111–1119
  52. Payne RF, Pain JA. Duct-to-mucosa pancreaticogastrostomy is a safe anastomosis following pancreaticoduodenectomy. Br J Surg. 2006;93:73–77
  53. McKay A, Mackenzie S, Sutherland FR, et al. Meta-analysis of pancreaticojejunostomy versus pancreaticogastrostomy reconstruction after pancreaticoduodenectomy. Br J Surg. 2006;93:929–936

PII: S0002-9610(06)00711-2

doi: 10.1016/j.amjsurg.2006.10.010

The American Journal of Surgery
Volume 193, Issue 2 , Pages 171-183 , February 2007

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