RETRACTED ARTICLE: Preoperative endoscopic pancreatic stenting: a novel prophylactic measure against pancreatic fistula after distal pancreatectomy

Abe, Nobutsugu; Sugiyama, Masanori; Suzuki, Yutaka; Yamaguchi, Takashi; Mori, Toshiyuki; Atomi, Yutaka

doi:10.1007/s00534-008-1331-0

Cited by 32 publications

(15 citation statements)

References 26 publications

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“…7 As an interdisciplinary approach to reduce the incidence of POPF after DP, Abe et al . suggested pre‐operative endoscopic pancreatic stenting to prevent pancreatic leakage 28 . They reported no POPF but found a 20% incidence of mild to acute pancreatitis after stent placement.…”

Section: Discussionmentioning

confidence: 99%

Pancreatoenteral anastomosis or direct closure of the pancreatic remnant after a distal pancreatectomy: a single‐centre experience

Klein

Glanemann

Faber

et al. 2012

HPB

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Section: Discussionmentioning

confidence: 99%

Pancreatoenteral anastomosis or direct closure of the pancreatic remnant after a distal pancreatectomy: a single‐centre experience

Klein

Glanemann

Faber

et al. 2012

HPB

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“…Another factor of developing PF may be an increase in remnant intra-pancreatic ductal pressure [16,23,37]. Abe et al [38] first reported the efficacy of prophylactic use of preoperative endoscopic stenting of Wirsung's duct to decrease pancreatic ductal pressure. Because transpapillary pancreatic drainage has been accepted for the management of post-endoscopic retrograde cholangiopancreatography pancreatitis, pancreatic duct stricture or disruption, and pancreatolithiasis, we presume that prophylactic pancreatic duct stenting could potentially prevent PF after DP.…”

Section: Discussionmentioning

confidence: 99%

Distal Pancreatectomy Utilizing a Flexible Stapler Closure Eliminates the Risk of Pancreas-Related Factors for Postoperative Pancreatic Fistula

et al. 2013

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Objectives: To identify the risk factors for clinically relevant pancreatic fistula after distal pancreatectomy with a flexible cartridge stapler, TL60. Methods: Forty consecutive patients who underwent a distal pancreatectomy by the TL60 stapler were retrospectively reviewed in association with postoperative complications. Results: The overall morbidity rate was 43% (17 patients), and mortality was null. Pancreatic fistula was the most frequent postoperative complication, seen in 11 patients (27.5%): grade A in 4 (10%) and grade B in 7 (17.5%). No grade C pancreatic fistula was observed. Univariate analyses of risk factors demonstrated that pancreas-related factors, including diabetes mellitus, thickness and texture of the pancreatic parenchyma, transection line for the pancreas, pancreatic duct ligation, and use of artificial patches had no impact on the occurrence of pancreatic fistula. A multivariable logistic regression analysis identified operative time (≥300 min) as the only notable predictor of clinically relevant pancreatic fistula (odds ratio = 3.253, 95% confidence interval 1.739-5.752; p = 0.031). Conclusion: Distal pancreatectomy with the use of the TL60 stapler eliminated the risk of pancreas-related factors for the occurrence of clinically relevant pancreatic fistula.

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“…However, none of these have proven to be ‘fool proof’ in the prevention of post distal pancreatectomy pancreatic fistula. Recently, prophylactic pancreatic duct stenting by ERCP has been explored as another strategy to prevent pancreatic fistula after distal pancreatectomy, and it appears to be very effective in preventing this complication [12, 13]. …”

Section: Discussionmentioning

confidence: 99%

“…Recently, even the use of preoperative pancreatic duct stenting to prevent postoperative pancreatic fistula has been explored in two studies, one from Germany [12] and one from Japan [13], and both these studies concluded that this intervention prevented the development of pancreatic fistula after distal pancreatectomy. However, the feasibility of this practice has never been explored in the United States.…”

Section: Introductionmentioning

confidence: 99%

Incidence of Pancreatic Fistula after Distal Pancreatectomy and Efficacy of Endoscopic Therapy for Its Management: Results from a Tertiary Care Center

Reddymasu

Pakseresht

Moloney

et al. 2013

Case Rep Gastroenterol

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Pancreatic fistula is a known complication of distal pancreatectomy. Endotherapy with pancreatic duct stent placement and pancreatic sphincterotomy has been shown to be effective in its management; however, experience of endotherapy in the management of this complication has not been extensively reported from the United States. Preoperative endoscopic retrograde cholangiopancreatography (ERCP) with pancreatic stent placement has also been proposed to prevent this complication after distal pancreatectomy. In our cohort of 59 patients who underwent distal pancreatectomy, 13 (22%) developed a pancreatic fistula in the immediate postoperative period, of whom 8 (14%) patients (5 female, mean age 52 years) were referred for an ERCP because of ongoing symptoms related to the pancreatic fistula. The pancreatic fistula resolved in all patients after a median duration of 62 days from the index ERCP. The median number of ERCPs required to document resolution of the pancreatic fistula was 2. Although a sizeable percentage of patients develop a pancreatic fistula after distal pancreatectomy, only a small percentage of patients require ERCP for management of this complication. Given the high success rate of endotherapy in resolving pancreatic fistula and the fact that the majority of patients who undergo distal pancreatectomy never require an ERCP, performing ERCP for prophylactic pancreatic duct stent prior to distal pancreatectomy might not be necessary.

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RETRACTED ARTICLE: Preoperative endoscopic pancreatic stenting: a novel prophylactic measure against pancreatic fistula after distal pancreatectomy

Abstract: Preoperative endoscopic pancreatic stenting may be an effective prophylactic measure against pancreatic fistula development following DP.

Cited by 32 publications

References 26 publications

Pancreatoenteral anastomosis or direct closure of the pancreatic remnant after a distal pancreatectomy: a single‐centre experience

Pancreatoenteral anastomosis or direct closure of the pancreatic remnant after a distal pancreatectomy: a single‐centre experience

Distal Pancreatectomy Utilizing a Flexible Stapler Closure Eliminates the Risk of Pancreas-Related Factors for Postoperative Pancreatic Fistula

Incidence of Pancreatic Fistula after Distal Pancreatectomy and Efficacy of Endoscopic Therapy for Its Management: Results from a Tertiary Care Center

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