Open AccessEmbedment of the gastroduodenal artery stump into the jejunal serosa: A new technique aiming to prevent post-pancreatectomy hemorrhage
Author(s) -
S Klimopoulos,
Alexandra Charakopoulou,
Athanasios G. Pantelis,
Konstantinos Bouchagier
Publication year - 2019
Publication title -
canadian journal of clinical pharmacology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.166
H-Index - 40
ISSN - 1710-6222
DOI - 10.15586/jptcp.v26i4.652
Subject(s) - gastroduodenal artery , medicine , pancreaticoduodenectomy , surgery , complication , artery , resection
Post-pancreaticoduodenectomy hemorrhage has an estimated incidence of 5% and a mortality rate of 11-38%. Vascular erosion resulting from pancreatic leak and skeletonization of the arterial wall during pancreatic mobilization may be the two possible mechanisms responsible for this complication, which most commonly affects the gastroduodenal artery stump. A novel technique of wrapping up the gastroduodenal artery stump into the jejunal serosa to decrease postoperative hemorrhage is presented.