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G. Robert Mason, MD

Arch Surg. 1997;132(3):299.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

In the 61 years since the first publication by Whipple et al¹ concerning pancreatoduodenectomy, there have been numerous modifications to his technique. Although pancreaticogastrostomy was first described as a technical feasibility in 1934,² it was not until 1946 that it was applied clinically. That report, by Waugh and Clagett, ³ was of one case. During the 1950s and 1960s, similar reports of 1, 2, and 3 cases at a time were performed. More recent series have been larger. The unifying theme of these reports has been of minimal anastomotic leakage and correspondingly minimal morbidity and mortality. There are now more than 300 such cases reported in the international literature. Leakage, as reported in aggregate, is approximately 2%. For the most part, the pancreaticogastrostomy has been used because of that fact. Pikarsky et al, in this article, emphasize instead the lack of major morbidity in the 28 patients they . . . [Full Text PDF of this Article]

Author Affiliations
Loyola University of Chicago Stritch School of Medicine Maywood, Ill

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