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September 10, 2025Pakistan Journal of Medical & Health Sciences

Best among Better: Ducto Mucosal Versus Dunking Procedure for Pancreaticojejunal Anastomosis in Whipple Procedure

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Authors

SUShahir UddinSASyed Hasnain AbbasSZSidra Zafar

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Overview

Observational study compares the ducto mucosal and dunking techniques for pancreatic fistula incidence in 85 patients following pancreaticoduodenectomy.

Key Points

  • The duct-to-mucosa group showed a lower pancreatic fistula incidence at 15%, compared to the dunking group at 18%.
  • Operative times were significantly shorter in the dunking group at 290 minutes versus 320 minutes for duct-to-mucosa (p=0.04).
  • This observational study was conducted at Pir Abdul Qadir Shah Jilani Institute Of Medical Sciences over two years.
  • Both duct-to-mucosa and dunking techniques provide effective pancreaticojejunal anastomosis options with specific advantages for patient situations.

Cite This Study

Uddin et al. (2023) studied this question.

synapsesocial.com/papers/68c1e24854b1d3bfb60ff2ffhttps://doi.org/10.53350/pjmhs2023175701
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Dunking Pancreaticojejunostomy With Braun’s Jejunojejunostomy: Perioperative Outcomes of a Hundred Pancreaticoduodenectomies2024
  2. 2Pancreaticojejunostomy and clinically relevant pancreatic fistula: a modified dunking technique and single-center experience2026
  3. 3Is duct-to-mucosa pancreaticojejunostomy necessary after pancreaticoduodenectomy: A meta-analysis of randomized controlled trials2024
  4. 4Conventional Reconstruction Versus Double Roux Reconstruction Procedure After Pancreaticoduodenectomy2025
  5. 5Postoperative Pancreatic Fistula Following Duct To Mucosa Pancreaticojejunostomy After 100 Consecutive Whipple’s Surgery2024