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RETRACTED ARTICLE: Preoperative endoscopic pancreatic stenting: a novel prophylactic measure against pancreatic fistula after distal pancreatectomy
Author(s) -
Abe Nobutsugu,
Sugiyama Masanori,
Suzuki Yutaka,
Yamaguchi Takashi,
Mori Toshiyuki,
Atomi Yutaka
Publication year - 2008
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-008-1331-0
Subject(s) - medicine , pancreatic fistula , pancreas , stent , perioperative , pancreatitis , fistula , pancreatectomy , surgery , distal pancreatectomy , general surgery , radiology
Background/Purpose The prevention of pancreatic fistula is still a major problem in distal pancreatectomy (DP). We have recently adopted preoperative endoscopic pancreatic stenting with the aim of preventing the leakage of pancreatic juice from the resection plane of the remnant pancreas after DP. We reviewed ten patients who underwent this intervention. Methods One to 6 days before surgery, the patients underwent an endoscopic transpapillary pancreatic stent (7 Fr., 3 cm) placement. The perioperative short‐term outcomes were assessed. Results Preoperative endoscopic pancreatic stenting was successfully performed in all ten patients. Two (20%) patients, both with intraductal papillary mucinous tumor, developed mild acute pancreatitis after the stent placement. None of the ten patients developed pancreatic fistula. The pancreatic stent was removed 8–28 days (mean, 11 days) postoperatively. Conclusions Preoperative endoscopic pancreatic stenting may be an effective prophylactic measure against pancreatic fistula development following DP.