Complications of temporary pancreatic stent insertion for pancreaticojejunal anastomosis during pancreaticoduodenectomy.
BACKGROUND
Morbidity associated with pancreaticoduodenectomy usually results from complications associated with the pancreaticojejunal anastomosis, in particular, a pancreatic leak. Four patients with retained transanastomotic pancreatic stent-induced complications after pancreaticduodenectomy were identified.


METHODS
Medical records for the 4 patients were reviewed, and telephone interviews were conducted.


METHODS
Each patient underwent pancreaticoduodenectomy for a peripapillary tumor with creation of a pancreaticojejunal anastomosis by using an internal 8F Silastic stent. Subsequent evaluation for steatorrhea (n=3) or recurrent pancreatitis (n=1) led to discovery of a retained pancreatic stent. In one patient, the stent was incidentally discovered. Steatorrhea significantly improved (n=1) or resolved (n=2) after stent removal. The patient with pancreatitis has not experienced another episode.


CONCLUSIONS
The possibility of a retained stent should be considered in patients presenting with steatorrhea or pancreatitis after pancreaticoduodenectomy.
Levy
Michael J
MJ
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota 55905, USA.
Chari
Suresh
S
Adler
Douglas G
DG
Clain
Jonathan E
JE
Gostout
Christopher J
CJ
Harewood
Gavin C
GC
Pearson
Randall K
RK
Petersen
Bret T
BT
Sarr
Michael G
MG
Farnell
Michael B
MB
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D020878:Device Removal; D005260:Female; D006801:Humans; D007583:Jejunum / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000601:surgery; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D010195:Pancreatitis / Q000209:etiology; D012008:Recurrence; D045602:Steatorrhea / Q000209:etiology; D015607:Stents / Q000009:adverse effects*