I usually do pancreaticogastrostomy (PG) in post pancreatico-dudenctomy patients. Results were quite satisfactory until recently when 2 of my consecutive patients had pancreatic stump bleed (one resolved of its own and one pt can't be salvaged).
None of the patients had any pancreatic leak, also inquired about the experiences at my alma mater where still trial is going on (PG vs PJ) and there too in around 6 pts they observed stump bleed. So my question is to those who regularly do PG, what measures can be taken to decrease the stump bleeding rates?
