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. 2007 Feb 28;13(8):1240-2.
doi: 10.3748/wjg.v13.i8.1240.

Effect of preoperative biliary drainage on outcome of classical pancreaticoduodenectomy

Chandra Shekhar Bhati  1 , Chandrashekhar Kubal, Pankaj Kumar Sihag, Ankur Atal Gupta, Raj Kamal Jenav, Nicholas G Inston, Jagdish M Mehta
Affiliations

Effect of preoperative biliary drainage on outcome of classical pancreaticoduodenectomy

Chandra Shekhar Bhati et al. World J Gastroenterol. .

Abstract

Aim: To investigate the role of preoperative biliary drainage (PBD) in the outcome of classical pancreaticoduodenectomy.

Methods: A 10-year retrospective data analysis was performed on patients (n = 48) undergoing pancreaticoduodenectomy from March 1994 to March 2004 in department of surgery at SMS medical college, Jaipur, India. Demographic variables, details of preoperative stenting, operative procedure and post operative complications were noted.

Results: Preoperative biliary drainage was performed in 21 patients (43.5%). The incidence of septic complications was significantly higher in patients with biliary stent placement (P < 0.05, 0 vs 4). This group of patients also had a significantly higher minor biliary leak rate. Mortality and hospital stay in each group was comparable.

Conclusion: Within this study population the use of PBD by endoscopic stenting was associated with a high incidence of infective complications. These findings do not support the routine use of biliary stenting in patients prior to pancreatico-duodenectomy.

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References

    1. Sewnath ME, Birjmohun RS, Rauws EA, Huibregtse K, Obertop H, Gouma DJ. The effect of preoperative biliary drainage on postoperative complications after pancreaticoduodenectomy. J Am Coll Surg. 2001;192:726–734. - PubMed
    1. Cameron JL, Pitt HA, Yeo CJ, Lillemoe KD, Kaufman HS, Coleman J. One hundred and forty-five consecutive pancreaticoduodenectomies without mortality. Ann Surg. 1993;217:430–435; discussion 435-438. - PMC - PubMed
    1. Trede M, Schwall G, Saeger HD. Survival after pancreatoduodenectomy. 118 consecutive resections without an operative mortality. Ann Surg. 1990;211:447–458. - PMC - PubMed
    1. Isenberg G, Gouma DJ, Pisters PW. The on-going debate about perioperative biliary drainage in jaundiced patients undergoing pancreaticoduodenectomy. Gastrointest Endosc. 2002;56:310–315. - PubMed
    1. Kimmings AN, van Deventer SJ, Obertop H, Rauws EA, Huibregtse K, Gouma DJ. Endotoxin, cytokines, and endotoxin binding proteins in obstructive jaundice and after preoperative biliary drainage. Gut. 2000;46:725–731. - PMC - PubMed