Letter to the Editor| Volume 142, ISSUE 3, P428-429, September 2007

What is in a word: Pancreatoduodenectomy or pancreaticoduodenectomy?

      In the English (both British and American) medical literature, we see the terms pancreatoduodenectomy and, more often, pancreaticoduodenectomy, both used, seemingly interchangeably, to designate the resection of the pancreatic head and the adjacent duodenum. We also see the words pancreatojejunostomy and pancreaticojejunostomy, as well as pancreatogastrostomy and pancreaticogastrostomy, to designate the anastomosis between the two organs (pancreas and jejunum, pancreas and stomach, respectively). After consulting the Stedman American Medical Dictionary,
      Dorland’s Medical Dictionary.
      it occurred to us that the use of the terms pancreato- and pancreatico- might not be strictly interchangeable:
      • Pancreas: a large elongated racemose gland
      • Pancreatic: pertaining to the pancreas
      • Pancreat (o)-: a combining form denoting relationship to the pancreas
      • Pancreatic (o)-: a combining form denoting relationship to the pancreas or to the pancreatic duct
      • Pancreaticojejunostomy: operative anastomosis of the pancreatic duct or the divided end of the transected pancreas with the jejunum
      • Pancreatoduodenectomy: excision of the head of the pancreas along with the entire loop of the duodenum
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      1. Dorland’s Medical Dictionary.
        in: 27th Ed. Saunders, Philadelphia1988: 1215-1216
      2. Greek Lexicon.
        in: Tegopoulos-Fitrakis, Athens1993: 555
        • Babiniotis G.
        Lexicon of New Greek Language.
        in: Lexicology Centre, Athens2002: 1308
        • Schwarz R.E.
        More on: what’s in a name, of and around the pancreas?.
        J Gastrointest Surg. 2006; 10: 1189-1190