Técnica y resultados con reconstrucción pancreato-gástrica ducto-mucosa en pancreatoduodenectomy

background: pancreatic reconstruction in pancreatoduodenectomy (pd) has many technical options. evidence shows no difference in pancreatic fistula rate or mortality between pancretogastrostomy and pancrea-ticojejunostomy reconstruction. aim: to report the results of the technique used by our team to perform duct-to-mucosa pancreaticogastrostomy (dmpg) in pd. material and methods: follow up of 37 patients aged 53 ± 12 years (59% women), subjected to pancreatoduodenectomy, using dmpg. perioperative complications were reported using the dindo-clavien classification. results: all patients had a pancreatic cancer. the tumor was located in the head or ampulla of vater in 38% of patients. the most common histological type was adenocarcinoma in 33 patients (89%). seventy three percent of patients did not have regional lymph node involvement (no). two patients died (5%). postoperative complications were registered in 35% of patients. two patients developed pancreatic fistulas, that were type a and b i one patient each, according to the classification of the international study group on pancreatic fistula. conclusions: the morbidity and mortality associated with dmpg in pd in the reported cohort are comparable to those reported by other local studies.