Review Article

Pancreatogastrostomy versus Pancreatojejunostomy: An Up-to-Date Meta-Analysis of RCTs

Table 3

Operative characteristics.

First authorDisease (PDAC/DD/AMP/DBD/OTHER)Operation type pd/pppdTechnique Operative timePostoperative hospital stay
PGPJPGPJPGPJPGPJPGPJ

Keck104/-/10/-/1498/-/11/-/14pd or pppd37/13428/121Dunking, pursestring, or interrupted or combination sutureDuct to mucosa or dunking, running, or interrupted or combination suture332 (165–600)337 (165–565)15 (5–208)16 (3–129)

GrendarN/Apd or pppdN/APosterior gastrostomy, 2-layer anastomosis2-layer end-to-side anastomosis349 ± 70356 ± 6517.4 ± 11.614.0 ± 5.4

El Nakeeb26/2/17/0/020/4/19/2/0pd45/045/0Posterior gastrostomy, 2-layer anastomosisTwo-layer end-to-side pancreaticojejunostomy300 (210–420)320 (240–480)9 (4–34)8 (5–41)

Figueras33/6/8/8/1029/10/7/3/19pd or pppd35/3030/28Posterior gastrostomy double-layer invaginatedDuct-to-mucosa pancreaticojejunostomy330 (235–620)305 (240–510)12 (1–52)15,5 (6–55)

Topal98/11/23/28/2107/14/28/15/3pd or pppd65/9865/102End-to-side telescoped antecolic posterior gastrostomyEnd-to-side telescoped pancreaticojejunostomy250 (210–320)250 (210–310)19 (14–25)18 (14–25)

Wellner26/3/9/2/830/2/7/2/10pd or pppd7/522/55Invagination, posterior pancreatogastrostomy with pursestring sutureDuct-to-mucosa pancreaticojejunostomy404 (280–629)443 (230–683)15 (7–135)17 (10–60)

Fernàndez-Cruz26/1/12/8/928/1/10/7/9pppd0/530/55End-to-side duct-to- mucosa pancreatogastrostomyEnd-to-side duct mucosa anastomosis PPPD-PJ300 ± 50310 ± 6012 ±216 ± 3

Bassi32/1/13/1/2228/1/11/2/40pd or pppd3/6612/70Posterior single-layer telescoped gastrostomySingle-layer pancreaticojejunal or duct to mucosa337.2 (336.1–338.2)359.3 (352.9–354.9)14.2 (13.1–15.3)15.4 (14.3–16.5)

Duffas34/3/17/8/1925/3/19/11/10pd or pppd63/1850/18Depending on surgeon’s preferenceDepending on surgeon’s preference6.5 ± 2.6 (h)6.4 ± 2.2 (h)20 (1–98)21 (7–97)

Yeo40/4/7/6/1640/5/11/7/9pd or pppd13/6013/59Posterior gastrostomyEnd-to-end or end-to-side pancreaticojejunostomy7.4 ± 0.2 (h)7.2 ± 0.2 (h)17.1 ± 1.617.7 ± 1.5