DAI Xian wei, XU Jin. Prevention and management of pancreaticoduodenal anastomotic dehiscence[J]. Chinese Journal of Digestive Surgery, 2013, 12(2): 109-112. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.005
Citation: DAI Xian wei, XU Jin. Prevention and management of pancreaticoduodenal anastomotic dehiscence[J]. Chinese Journal of Digestive Surgery, 2013, 12(2): 109-112. DOI: 10.3760/cma.j.issn.1673-9752.2013.02.005
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Prevention and management of pancreaticoduodenal anastomotic dehiscence

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  • Pancreaticoduodenal anastomotic dehiscence complicated with peritoneal hemorrhage following pancreaticoduodenectomy is a serious complication which threatens patients′ life. Prevention and mangement of pancreaticoduodenal anastomotic dehiscence and peritoneal hemorrhage is the focus in the surgical treatment. Operation is the most reliable treatment for bleeding. While reoperation is difficult for most surgeons and the risk of fistula and rebleeding after reoperation exist. Some procedures will affect the endocrine and exocrine function of pancreas. We applied pancreaticojejunal bridge drainage for most patients with hemorrhage after pancreaticoduodenectomy. This procedure is easy, safe, and can protect the pancreatic function.
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