2017 SSAT PLENARY PRESENTATION Pancreatogastrostomy Vs. Pancreatojejunostomy: a Risk-Stratified Analysis of 5316 Pancreatoduodenectomies Brett L. Ecker 1 & Matthew T. McMillan 1 & Laura Maggino 1,2 & Valentina Allegrini 2 & Horacio J. Asbun 3 & Chad G. Ball 4 & Claudio Bassi 2 & Joal D. Beane 5 & Stephen W. Behrman 6 & Adam C. Berger 7 & Mark Bloomston 8 & Mark P. Callery 9 & John D. Christein 10 & Euan Dickson 11 & Elijah Dixon 4 & Jeffrey A. Drebin 1 & Carlos Fernandez-Del Castillo 12 & William E. Fisher 13 & Zhi Ven Fong 12 & Ericka Haverick 8 & Robert H. Hollis 10 & Michael G. House 5 & Steven J. Hughes 14 & Nigel B. Jamieson 11 & Tara S. Kent 9 & Stacy J. Kowalsky 15 & John W. Kunstman 16 & Giuseppe Malleo 2 & Ronald R. Salem 16 & Kevin C. Soares 17 & Vicente Valero III 17 & Ammara A. Watkins 9 & Christopher L. Wolfgang 17 & Amer H. Zureikat 15 & Charles M. Vollmer Jr 1 Received: 23 April 2017 /Accepted: 14 August 2017 # 2017 The Society for Surgery of the Alimentary Tract Keywords Pancreatogastrostomy . Pancreatojejunostomy . Pancreatic fistula . Pancreatoduodenectomy . Severity weighting . Postoperative morbidity index . Risk stratification Abbreviations ACB Average Complication Burden CR-POPF clinically relevant postoperative pancreatic fistula FRS Fistula Risk Score ISGPF International Study Group on Pancreatic Fistula IQR interquartile range OR odds ratio PD pancreatoduodenectomy PMI Postoperative Morbidity Index POPF postoperative pancreatic fistula RCT randomized controlled trial Electronic supplementary material The online version of this article (https://doi.org/10.1007/s11605-017-3547-2) contains supplementary material, which is available to authorized users. * Charles M. Vollmer, Jr Charles.Vollmer@uphs.upenn.edu 1 Departments of Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA 2 Departments of Surgery, University of Verona, Verona, Italy 3 Departments of Surgery, Mayo Clinic, Jacksonville, FL, USA 4 Departments of Surgery, University of Calgary, Calgary, Alberta, USA 5 Departments of Surgery, Indiana University School of Medicine, Indianapolis, IN, USA 6 Departments of Surgery, University of Tennessee Health Science Center, Memphis, TN, USA 7 Departments of Surgery, Jefferson Medical College, Philadelphia, PA, USA 8 Departments of Surgery, The Ohio State University Wexner Medical Center, Columbus, OH, USA 9 Departments of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA 10 Departments of Surgery, University of Alabama School of Medicine, Birmingham, AL, USA 11 Departments of Surgery, University of Glasgow, Glasgow, Scotland UK 12 Departments of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA 13 Departments of Surgery, Baylor College of Medicine, Houston, TX, USA J Gastrointest Surg DOI 10.1007/s11605-017-3547-2