Does preoperative biliary stenting affect the outcome of pancreatico-duodenectomy?
Artigo
em Inglês
| IMSEAR
| ID: sea-64970
ABSTRACT
BACKGROUND:
Controversy exists whether preoperative endoscopic biliary stenting to reduce serum bilirubin level affects the outcome of pancreaticoduodenectomy.AIM:
To determine whether preoperative endoscopic biliary stenting is associated with altered morbidity or mortality after pancreaticoduodenectomy.METHODS:
In 37 consecutive patients with periampullary lesion undergoing pancreaticoduodenectomy over a 6-year period, frequency of septic complications, occurrence of pancreatic leak or bleeding, duration of hospital stay, and mortality were studied; of these, 15 had preoperative biliary stenting and 22 had not.RESULTS:
Postoperative infective complications occurred more often in the patients with biliary stent than in those without (26% vs 0%, p=0.04). Postoperative recovery time, hospital stay and mortality were similar in the two groups.CONCLUSION:
Preoperative biliary stenting is associated with septic complications, but this does not affect postoperative recovery after pancreaticoduodenectomy.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Neoplasias Pancreáticas
/
Infecção da Ferida Cirúrgica
/
Ductos Biliares
/
Bilirrubina
/
Idoso
/
Cuidados Pré-Operatórios
/
Feminino
/
Humanos
/
Masculino
/
Estudos de Casos e Controles
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Idioma:
Inglês
Ano de publicação:
2003
Tipo de documento:
Artigo
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