ArticleAnnals of translational medicine2019
The vulnerable point of modified blumgart pancreaticojejunostomy regarding pancreatic fistula learned from 50 consecutive pancreaticoduodenectomy.
Article in Annals of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Blumgart anastomosis reduces the incidence of pancreatic fistula after pancreaticoduodenectomy: a systematic review and meta-analysis.Scientific reports · 2020Pooled it
- Prognostic factors of postoperative morbidity in surgery for resectable pancreatic cancer. Regional institute of neoplastic diseases 'Dr. Luis Pinillos Ganoza' IREN Norte. 2007-2022.Ecancermedicalscience · 2024Article
- Single Center, Propensity Score Matching Analysis of Different Reconstruction Techniques following Pancreatoduodenectomy.Journal of clinical medicine · 2023Article
- A Blumgart Anastomosis-Based Half-Invagination Pancreaticoenterostomy with Better Applicability to Laparoscopy and Lower Incidence of Pancreatic Leakage.Computational and mathematical methods in medicine · 2023Article
- Integration of effort for secure pancreaticoduodenectomy improved surgical outcomes: Historical observational study.Surgery in practice and science · 2022Article
- Effect of Modified Blumgart Anastomosis on Surgical Outcomes After Pancreaticoduodenectomy.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2022Article
- Blumgart pancreaticojejunostomy: does it reduce postoperative pancreatic fistula in comparison to other pancreatic anastomoses?Annals of translational medicine · 2020Article
- Pancreatic fistula after pancreaticoduodenectomy-does surgical technique matter?Annals of translational medicine · 2020Article
- Implication of pancreaticoenterostomy regarding postoperative pancreatic fistula.Annals of translational medicine · 2020Article
- The GaMBK Anastomosis: A Novel and Simplified Technique for Pancreaticojejunostomy.Current health sciences journalArticle
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3 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundBlumgart anastomosis (BA) during pancreaticoduodenectomy (PD) had reduced postoperative pancreatic fistula (POPF) after PD in literatures. The aim of this study is to report surgical results from a consecutive series of operation using the modified BA method.
methodsData from 50 consecutive patients who underwent PD using modified BA between September 2011 and August 2018 were prospectively collected and retrospectively analyzed, regarding POPF, other morbidities, and mortality.
resultsOverall incidence of POPF was 10.0%, the rate of grade B POPF was 8.0% (4/50) and grade C was 2.0% (1/50). Among 50 patients, 5 post pancreatectomy hemorrhages (PPHs) (10.0%) including 2 POPF related bleeding, and 4 abscesses including 2 related to POPF occurred. Fistula risk grades were as follows: 0 negligible, 6 low, 36 intermediate, and 8 high. Except for one patient, fistulas improved over the clinical course after radiologic intervention drainage and angiography. The mortality occurred due to POPF followed by jejunal detachment from the remnant pancreas stump. In this case, jejunum was too thin, compared to the pancreatic thickness.
conclusionsThis retrospective single-center result demonstrated that the modified BA had an acceptable rate of POPF. Modified BA may be risky and potentially provoke fatal POPF, when joining a thin jejunum and thick pancreas.
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