Characterization and Optimal Management of High-risk Pancreatic Anastomoses During Pancreatoduodenectomy

Abstract

The scenarios identified by the high-risk FRS zone represent challenging anastomoses associated with markedly elevated rates of fistula. Externalized stents and omission of prophylactic octreotide, in the setting of intraperitoneal drainage and pancreaticojejunostomy reconstruction, provides optimal outcomes.