Özet:
Aim: Pancreatoduodenectomy (PD) is the only treatment option in patients with periampullary region tumors. Gastroenterostomy
(GE) is carried out with or without Braun’s anastomosis according to preference.
Material and Methods: Prospectively recorded files of 17 patients who underwent Whipple operation between September 2015 and
March 2017 were retrospectively investigated for morbidity, mortality, and the way of GE anastomosis.
Results: The youngest patient was 44 and the ldest was 75 years old with a mean age of 63.4. Six were male and 11 were female. Five
cases (26%) were ductal adenocarcinoma, 11 (68%) were ampullary adenocarcinoma, and one (6%) was ampullary NET. Classical
Whipple procedure was performed in all patients. Retrocolic GE was applied in all cases with Braun’s anastomosis in 6 and without
in 11 patients. There were only two cases of panreatic fistula (grade B) (11.7%).
Conclusion: Retrocolic gastroenterostomy under the omentum can provide more protected anatomical position providing advantage
for lower and upper abdominal quadrant drainage in case of possible pancreaticojejunal leakages during pancreatoduodenectomy.
