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 25 February 2018

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News

Prophylaxis of pancreatic fistula after distal pancreatectomy

Preoperative endoscopic pancreatic stenting may be an effective prophylactic measure against pancreatic fistula development following distal pancreatectomy in selected patients, reports this month's issue of the American Journal of Surgery.

News image

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Pancreatic fistula is a common complication of distal pancreatectomy.

Various surgical procedures have been proposed for distal pancreatectomy in an attempt to decrease the high incidence of pancreatic fistula.

The prevention of pancreatic fistula remains a major problem in distal pancreatectomy .

Endoscopic pancreatic stenting for the treatment or prophylaxis of such a fistula has been rarely described.

Dr Nobutsugu Abe and colleagues reviewed 9 patients who underwent preoperative endoscopic pancreatic stenting.

The patients underwent the procedure for the prophylaxis of pancreatic fistula development after distal pancreatectomy.

The investigators reported that preoperative endoscopic pancreatic stenting was successfully performed with a 7F stent in all the 9 patients.

None of the 9 patients developed pancreatic fistula
American Journal of Surgery

The investigative team noted that 2 patients, both with intraductal papillary mucinous tumor, developed mild acute pancreatitis after the stent placement.

None of the 9 patients developed pancreatic fistula.

The investigators removed the pancreatic stent between 8 and 28 days postoperatively.

Dr Abe's team concluded, “Preoperative endoscopic pancreatic stenting may be an effective prophylactic measure against pancreatic fistula development following distal pancreatectomy in selected patients.”

Am J Surg 2006: 191(2): 198-200
21 February 2006

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