Back to Search
Start Over
Endoscopic Transpapillary Pancreatic Duct Stent Placement for Symptomatic Peripancreatic Fluid Collection Caused by Clinically Relevant Postoperative Pancreatic Fistula After Distal Pancreatectomy
- Source :
- Surgical laparoscopy, endoscopypercutaneous techniques. 29(4)
- Publication Year :
- 2019
-
Abstract
- This study aimed to evaluate the safety and efficacy of endoscopic transpapillary pancreatic duct stent placement (ETPS) for symptomatic peripancreatic fluid collection caused by postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP). ETPS was also compared with percutaneous drainage (PTD). Retrospectively 38 patients were studied who developed clinically relevant POPF. Of 38 patients, 4 underwent PTD and 11 underwent ETPS. Technical and clinical success rates of ETPS (100% and 91%, respectively) were comparable with PTD (100% and 75%, respectively). The tip of a pancreatic stent was placed over the pancreatic stump in 4 patients and draining of pus through the pancreatic stent was observed. The hospital stay after DP and the interval from intervention to discharge were significantly shorter in the ETPS group than in the PTD group. ETPS is safe and successful for managing peripancreatic fluid collection caused by POPF after DP and should be considered as a therapeutic option.
- Subjects :
- Adult
Male
medicine.medical_specialty
Percutaneous
Clinical success
Risk Assessment
Pancreatic stent
Pancreatic Fistula
Pancreatectomy
Postoperative Complications
Pancreatic duct stent
medicine
Humans
Aged
Cholangiopancreatography, Endoscopic Retrograde
business.industry
Pancreatic Ducts
Length of Stay
Middle Aged
medicine.disease
Surgery
Pancreatic Neoplasms
Adenocarcinoma, Papillary
Treatment Outcome
Pancreatic fistula
Drainage
Female
Stents
business
Distal pancreatectomy
Hospital stay
Pancreatic stump
Follow-Up Studies
Subjects
Details
- ISSN :
- 15344908
- Volume :
- 29
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Surgical laparoscopy, endoscopypercutaneous techniques
- Accession number :
- edsair.doi.dedup.....d02346bb4b6ab85e8a78e95e75599a6c