The Effectiveness of Adding Braun Anastomosis to Standard Child Reconstruction After Pancreatoduodenectomy

This study is testing whether adding an extra connection in the intestine (called a Braun anastomosis) during standard pancreatic surgery (Whipple procedure) reduces complications like bile reflux and improves recovery outcomes. **You may be eligible if...** - You are 18 or older - You are scheduled for an open Whipple procedure (pancreatoduodenectomy) for a pancreatic condition - You are able to give informed consent **You may NOT be eligible if...** - You cannot adequately understand or complete Dutch-language questionnaires (for patients at Dutch hospitals) - You have previously had bariatric surgery such as gastric bypass - You are pregnant - You have a bowel motility disorder - You are having minimally invasive (laparoscopic/robotic) surgery instead of open surgery - You have a gastric outlet blockage Talk to your doctor to see if this trial is right for you.