Pancreaticoenteric anastomosis
The surgical connection of the pancreatic remnant to the intestinal tract following pancreatic resection.
Full Definition
Pancreaticoenteric anastomosis represents the reconstructive component of pancreatic surgery where the remaining pancreatic tissue is connected to the gastrointestinal tract to maintain exocrine function. This can be performed as either pancreaticojejunostomy (connection to jejunum) or pancreaticogastrostomy (connection to stomach). The anastomosis is technically challenging due to the soft texture of pancreatic tissue and the risk of pancreatic fistula formation. Various techniques including duct-to-mucosa anastomosis, invagination methods, and reinforcement strategies have been developed to minimize complications. The choice of technique often depends on pancreatic duct size, tissue quality, and surgeon preference.
Usage
Usage note: Specify the exact type of anastomosis (jejunostomy vs gastrostomy) when describing surgical technique.
In Context
- "The pancreaticoenteric anastomosis was performed using a modified Blumgart technique." — Operative report
- "Postoperative drain amylase levels suggested a minor leak at the pancreaticoenteric anastomosis." — Postoperative assessment