This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Pancreaticojejunostomy with externalized stent vs pancreaticogastrostomy with externalized stent for patients with high-risk pancreatic anastomosis. A single-center, phase 3, randomized clinical trial. JAMA Surg 2020; 155: 313-321.

Published: 9th February 2021

Authors: Andrianello S, Marchegiani G, Malleo G, Masini G, Balduzzi A, Paiella S et al.

Conclusion

This study included a total of 72 patients at high risk of postoperative pancreatic fistula. The fistula rate was similar after pancreaticojejunostomy (38.9 per cent) and pancreaticogastrostomy (50 per cent, P=0.48), but major morbidity rates were lower after pancreaticogastrostomy (22.2 versus 47.2 per cent, P=0.047).

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