DOI: 10.21276/sasjs.2019.5.3.1

Pages: 109-141

Pancreaticoduodenectomy has been for long time a procedure with high postoperative morbidity and mortality.several complications after pancreatic resection are known hemorrhage, postoperativecollection/abscess, postoperative pancreatic fistula, billiary fistula, delayed gastric emptying. Postoperative pancreatic fistula is most severe complication. Avoiding the pancreatic fistula many surgical inovation came for the continuity after pancreatic resection.The aim of this retrospective study was to compare pancreatico jejunostomy vs pancreatico gastrostomy with regards to postoperative complications of pancreatic anastomosis.30 patients selected who were underwent pancreatico duodenectomy from 2017 september to 2018 september. Pancreatic anastomosis done by pancreatico jejunostomy(end to side duct to mucosa) in 15 cases and by pancreatico gastrostomy(invagination of pancreatic remnant into stomachdunking method) in other 15 cases. There was no significant difference between the two groups (age, gender, socioeconomic status, symptoms and signs,comorbid conditions, preoperative diagnosis-ductal,ampullary, duodenal carcinoma).Comparison between two groups was made mainly analysing postoperative complication.hemorrhage is 6% in both pancreatico gastrostomy and pancreatico jejunostomy.