title: Does preoperative biliary stenting affect the outcome of pancreatico-duodenectomy?
abstract: BACKGROUND
  Controversy exists whether preoperative endoscopic biliary stenting to reduce serum bilirubin level affects the outcome of pancreaticoduodenectomy.
  
  
  OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Preoperative biliary stenting is associated with septic complications, but this does not affect postoperative recovery after pancreaticoduodenectomy.
authors.affiliation: Department of Surgery, S M S Medical College, Jaipur.
authors.forename: Vikas
authors.initials: V
authors.lastname: Goyal
authors.forename: J M
authors.initials: JM
authors.lastname: Mehta
authors.forename: R K
authors.initials: RK
authors.lastname: Jenaw
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001652:Bile Ducts; D001663:Bilirubin / Q000097:blood; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy; D011300:Preoperative Care; D015607:Stents / Q000009:adverse effects; D013530:Surgical Wound Infection / Q000453:epidemiology
chemical_list: D001663:Bilirubin