RT Journal
A1 Lillemoe KD
T1 Omental roll-up technique decreases pancreatic fistula–or does it?: Comment on “efficacy of omental roll-up technique in pancreaticojejunostomy as a strategy to prevent pancreatic fistula after pancreaticoduodenoectomy”
JF Archives of Surgery
JO Archives of Surgery
YR 2012
FD February 1
VO 147
IS 2
SP 150
OP 151
DO 10.1001/archsurg.2011.1032
UL http://dx.doi.org/10.1001/archsurg.2011.1032
AB 
In this article, Dr Choi et al1 describe their recent experience with pancreaticoduodenectomy in 68 patients. The results are not dissimilar from many series with a perioperative mortality of less than 2% and a morbidity of 54%, which is at the upper end of most reported series. More disturbing is their pancreatic fistula rate of 33%. Fortunately, about half the patients had International Study Group for Pancreatic Fistula (ISGPF) grade A fistulas and had otherwise uneventful postoperative courses.2