Does preoperative biliary stenting affect the outcome of pancreatico-duodenectomy?
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.
Goyal
Vikas
V
Department of Surgery, S M S Medical College, Jaipur.
Mehta
J M
JM
Jenaw
R K
RK
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
D001663:Bilirubin