E-ISSN 2367-699X | ISSN 2367-7414
 

Original Research

Online Publishing Date:
27 / 12 / 2021

 


Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study

Sadaf Ali Bangri, Mohd Riyaz Lattoo, Prince Ajaz Ahmad.


Abstract
Background: Pancreaticoduodenectomy (PD) is a complex procedure. Postoperative pancreatic fistula
(POPF) is one of the most common dreaded complications of this procedure. The placement of a stent through a
pancreatic anastomosis is one of the proposed surgical techniques to reduce pancreatic fistula incidence. This study
aims to evaluate the utility of external stenting of pancreaticojejunostomy (PJ) anastomosis after PD in decreasing the
incidence of POPF and to look for the incidence of stent-related complications. Material and methods: This study was a
prospective non-randomized observational study conducted in the Department of Surgical Gastroenterology at Sher – I-
Kashmir Institute of Medical Sciences from January 2015 to January 2020. Results: A total of 72 patients were included in
the study. Thirty-five were stented, and 37 had no stent. Mortality was seen in both groups (one death in each group).
The morbidity rate was 32% (12/37) for the non-stent group and 35% (13/35) for the stent group (p=0.741). The overall
incidence of the pancreatic fistula was 6.94% (5/72). 4 patients had grade B fistula, 3 [3/35(8.57%)] in the stent group
and one [1/37(2.7%)] in the non-stent group(p=0277). 1 patient had a grade C fistula from the stent group. The stent
failed to function with no drainage of pancreatic juice in 2 patients (5.7%) and minimal flow(<50ml/24h) in 11 patients
(31%). Premature stent dislodgment was detected in 8.57% (3/35). The mean time to remove pancreatic stents was 34 ±6
postoperative days stent. Conclusion: In conclusion, the use of external drainage of the pancreatic duct across the PJ
anastomosis after pancreaticoduodenectomy does not decrease the rate of pancreatic fistula. So, the use of stents can be
avoided.

Key words: Pancreaticoduodenectomy, stenting, POPF


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Sadaf Ali Bangri
Articles by Mohd Riyaz Lattoo
Articles by Prince Ajaz Ahmad
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Bangri SA, Lattoo MR, Ahmad PA. Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. Int J Surg Med. 2021; 7(6): 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat


Web Style

Bangri SA, Lattoo MR, Ahmad PA. Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. https://www.ejos.org/?mno=110971 [Access: February 20, 2024]. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat


AMA (American Medical Association) Style

Bangri SA, Lattoo MR, Ahmad PA. Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. Int J Surg Med. 2021; 7(6): 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



Vancouver/ICMJE Style

Bangri SA, Lattoo MR, Ahmad PA. Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. Int J Surg Med. (2021), [cited February 20, 2024]; 7(6): 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



Harvard Style

Bangri, S. A., Lattoo, . M. R. & Ahmad, . P. A. (2021) Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. Int J Surg Med, 7 (6), 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



Turabian Style

Bangri, Sadaf Ali, Mohd Riyaz Lattoo, and Prince Ajaz Ahmad. 2021. Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. International Journal of Surgery and Medicine, 7 (6), 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



Chicago Style

Bangri, Sadaf Ali, Mohd Riyaz Lattoo, and Prince Ajaz Ahmad. "Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study." International Journal of Surgery and Medicine 7 (2021), 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



MLA (The Modern Language Association) Style

Bangri, Sadaf Ali, Mohd Riyaz Lattoo, and Prince Ajaz Ahmad. "Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study." International Journal of Surgery and Medicine 7.6 (2021), 36-41. Print. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat



APA (American Psychological Association) Style

Bangri, S. A., Lattoo, . M. R. & Ahmad, . P. A. (2021) Does stenting of pancreaticojejunostomy after pancreatico-duodenectomy mitigate expected complications - Evaluation of a prospective study. International Journal of Surgery and Medicine, 7 (6), 36-41. doi:10.5455/ijsm.stentingofpancreaticojejunostomyafterpancreatico-duodenectomymitigateexpectedcomplicat