Current controversies surrounding restoration of gastrointestinal cont
inuity after pancreaticoduodenectomy are reviewed. The optimum method
of reconstruction following this procedure remains debatable, particul
arly with regard to the pancreatic anastomosis. Pylorus-preserving pan
creaticoduodenectomy is increasing in popularity. Pancreaticogastrosto
my is associated with at least as low a morbidity rate as pancreaticoj
ejunostomy and is a safe alternative.