Does modified Blumgart pancreatojejunostomy compared with original Blumgart pancreatojejunostomy decrease the rate of clinically relevant postoperative pancreatic fistula? A single-center propensity score-matched analysis
Year: 2026
Type: article
Study design: Observational Study
Abstract: Backgrounds/Aims: The most common cause of morbidity following pancreatoduodenectomy (PD) is the clinically relevant postoperative pancreatic fistula (CR-POPF). There is currently no universally accepted technique for pancreato-enteric anastomosis. This study aims to compare the Blumgart technique (B-PJ) with the modified Blumgart technique (mB-PJ). Methods: This is a retrospective study involving patients who underwent PD between January 2011 and December 2021. The primary endpoint was to compare the incidence of CR-POPF. Secondary endpoints included major morbidity, length of postoperative stay, rates of reoperation, hospital readmission, postoperative mortality, and predictors of CR-POPF. Propensity score matching (PSM) was employed to minimize potential selection bias. Results: = 0.002). Conclusions: This study did not demonstrate that mB-PJ is superior to B-PJ in reducing the incidence of CR-POPF. Factors such as soft pancreas, main pancreatic duct size, and preoperative cholangitis are identified as independent risk factors for CR-POPF.
Authors: Fernando Revoredo Rego, Gustavo Reaño Paredes, Fritz Kometter Barrios, Tongbo Wang, Guillermo Herrera Chávez, Luis Villanueva Alegre, Jorge Tang Sing, Mónica Uribe León, Wuilber Ludeña Hurtado, José Arenas Gamio, Sheyla Alfaro Ita, Vanessa Bermúdez Alfaro, Liliana Fonseca Cavero, Félix Carrasco Mascaro, Italo Landeo Aliaga, Samy Castillo Flores, José de Vinatea de Cárdenas
Language: English
Subfield: Oncology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W7154352835