Pancreato-enteric anastomosis: The duct evagination technique

Parul J. Shukla, Sujit Vijay Sakpal, Savio G. Barreto, Vijay Naraynsingh

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Pancreatic anastomotic failure remains the most frequent and potentially life-threatening complication following Pancreatoduodenectomy. Numerous modifications in the technique of the pancreatoenteric anastomosis have been reported. We suggest a simple modification which involves " evaginating" the cut end of the pancreatic duct. This technique helps avoid a compromise of the pancreatic ductal patency, and by achieving a wide pancreatic ductal opening can facilitate a safer pancreato-enteric anastomosis. In addition, by possibly decreasing the likelihood of post-operative pancreatic ductal stenosis, it has the potential to reduce post-Pancreatoduodenectomy pancreatic exocrine insufficiency. The modification acts as an adjunct to an already established technique yielding good results.

Original languageEnglish
Pages (from-to)277-278
Number of pages2
JournalJournal of Surgical Oncology
Issue number3
Publication statusPublished - 1 Sept 2009
Externally publishedYes


  • Anastomosis
  • Pancreatoduodenectomy
  • Technique


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