Reasonable option and evaluation of pancreaticojejunostomy and pancreaticogastrostomy        LOU Wen-hui. Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China
Abstract    There are two categories of reconstruction after pancreaticoduodenectomy and segmental pancreatectomy, pancreaticojejunostomy and pancreaticogastrostomy. There is no difference on the incidence of pancreatic fistula between pancreaticojejunostomy and pancreaticogastrostomy. The influence of pancreaticogastrostomy on the exocrine and endocrine function is still unclear. To those patients with longer survival expectation and those with detrimental exocrine and endocrine function, pancreaticojejunostomy is a reasonable option to avoid further damage. To those accept segmental pancreatectomy or those with IPMNs, pancreaticogastrostomy maybe a reasonable option. After all, the choice of digestive tract reconstruction should be based on comprehensive consideration of factors such as operator’s habit, type of operation, nature of original disease, the texture and the state of exocrine and endocrine function.