{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T11:18:33Z","timestamp":1761823113744,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,12,5]],"date-time":"2008-12-05T00:00:00Z","timestamp":1228435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>This study was designed to compare surgical, morphological, and functional outcomes of pancreaticoduodenectomy (PD) according to the types of pancreaticoenterostomy performed and to suggest a proper anastomotic method after PD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From January 2001 to December 2006, 147\u00a0PDs were performed at Ajou University Medical Center. Surgical, morphological, functional, and nutritional outcomes after PD were retrospectively compared according to the types of management of pancreatic remnant and whether pancreaticogastrostomy (PG) or pancreaticojejunostomy (PJ), including duct\u2010to\u2010mucosa or invagination method, was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the reconstruction method, 43\u00a0PG (30 duct\u2010to\u2010mucosa and 13\u00a0invagination) and 100\u00a0PJ (33 duct\u2010to\u2010mucosa and 67\u00a0invagination) were performed. Pancreatic leak rate in PG group (7%) was less than that in PJ group (13%); however, it was not significant (<jats:italic>P<\/jats:italic> &gt; 0.05). On the other hand, there was a significant difference in pancreatic leak between duct\u2010to\u2010mucosa and invagination (3.2 vs. 17.5%, <jats:italic>P<\/jats:italic> &lt; 0.05). Surprisingly, there was no pancreatic leak in PG duct\u2010to\u2010mucosa anastomosis after PD. There were no significant differences in the change of remnant pancreatic duct size, pancreatic thickness, presence of steatorrhea, and new\u2010onset diabetes mellitus (DM) between PG and PJ. In the invagination group, the main pancreatic duct diameter was increased and pancreatic thickness was progressively reduced.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The duct\u2010to\u2010mucosa method is safer and has a good duct patency and low pancreas atrophy compared with the invagination method. In addition, PG duct\u2010to\u2010mucosa is safer than PG invagination, but not in the PJ group. Therefore, we recommend PG duct\u2010to\u2010mucosa for reconstruction after PD because of safety and good duct patency, especially for inexperienced surgeons.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-008-9827-y","type":"journal-article","created":{"date-parts":[[2008,12,4]],"date-time":"2008-12-04T14:28:17Z","timestamp":1228400897000},"source":"Crossref","is-referenced-by-count":33,"title":["Which Method Should We Select for Pancreatic Anastomosis After Pancreaticoduodenectomy?"],"prefix":"10.1002","volume":"33","author":[{"given":"Ji Hun","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Surgery Ajou University School of Medicine San\u20105, Wonchondong, Yeongtonggu 442\u2010749 Suwon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Byung Moo","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Ajou University School of Medicine Suwon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin Hong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Ajou University School of Medicine Suwon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wook Hwan","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Surgery Ajou University School of Medicine San\u20105, Wonchondong, Yeongtonggu 442\u2010749 Suwon Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,12,5]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000189124.47589.6d"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199522240\u201000014"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.03.015"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010001\u20100234\u2010x"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2005.03.026"},{"key":"e_1_2_6_7_2","first-page":"1181","article-title":"Pathophysiology after pylorus\u2010preserving pancreatoduodenectomy: a comparative study of pancreatogastrostomy and pancreatojejunostomy","volume":"46","author":"Konishi M","year":"1999","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5191"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/jso.20903"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2005.09.012"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2005.05.001"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.2000.01395.x"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002\u20109610(98)00005\u20101"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6060(98)70199-0"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e3180d0a8d5"},{"key":"e_1_2_6_16_2","first-page":"1138","article-title":"Pancreatogastrostomy (PG) after pancreatoduodenectomy with or without duct\u2010to\u2010mucosa anastomosis for the small pancreatic duct: short\u2010 and long\u2010term results","volume":"47","author":"Hyodo M","year":"2000","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2004.01.006"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1245\/ASO.2005.04.005"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.2000.01388.x"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-008-9827-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-008-9827-y\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-008-9827-y","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T15:05:11Z","timestamp":1703603111000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-008-9827-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,12,5]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2009,2]]}},"alternative-id":["10.1007\/s00268-008-9827-y"],"URL":"https:\/\/doi.org\/10.1007\/s00268-008-9827-y","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"type":"print","value":"0364-2313"},{"type":"electronic","value":"1432-2323"}],"subject":[],"published":{"date-parts":[[2008,12,5]]},"article-number":"326"}}