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Reconstruction methods after pancreaticoduodenectomy

Pancreaticojejunostomy and pancreaticogastrostomy are both used for reconstruction after pancreaticoduodenectomy; which method is best is still debated. A nationwide multicentre randomized clinical trial that compared these two types of reconstruction has demonstrated that pancreaticogastrostomy is associated with a substantially lower rate of clinically relevant postoperative pancreatic fistula than pancreaticojejunostomy.

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Correspondence to Claudio Bassi.

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The authors declare no competing financial interests.

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Malleo, G., Bassi, C. Reconstruction methods after pancreaticoduodenectomy. Nat Rev Gastroenterol Hepatol 10, 445–446 (2013).

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