Severity of Pancreatic Leak in Relation to Gut Restoration After Pancreaticoduodenectomy: The Role of the Roux-en-Y Configuration.

Vasileios Smyrniotis,Stavros Parasyris,Georgios Gemenetzis,Ioannis Margaris,Zoe Petropoulou,Maria Papadoliopoulou,Theodoros Sidiropoulos,Dionysios Dellaportas,Antonios Vezakis,Andreas Polydorou, Panagiotis Kokoropoulos,Kassiani Theodoraki,Paraskevi Matsota,Panteleimon Vassiliu,Nikolaos Arkadopoulos

Annals of surgery open : perspectives of surgical history, education, and clinical approaches（2022）

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摘要

Roux-en-Y configuration showed lower incidence and severity of POPF. Irrespective of technical skill, creating a gastrojejunostomy close to pancreatojejunostomy renders the pancreatic enzymes less active by leaping the bile salts away from the pancreatic duct and providing a lower pH.

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