title: Complications of temporary pancreatic stent insertion for pancreaticojejunal anastomosis during pancreaticoduodenectomy.
abstract: 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.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota 55905, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Levy
authors.forename: Suresh
authors.initials: S
authors.lastname: Chari
authors.forename: Douglas G
authors.initials: DG
authors.lastname: Adler
authors.forename: Jonathan E
authors.initials: JE
authors.lastname: Clain
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Gostout
authors.forename: Gavin C
authors.initials: GC
authors.lastname: Harewood
authors.forename: Randall K
authors.initials: RK
authors.lastname: Pearson
authors.forename: Bret T
authors.initials: BT
authors.lastname: Petersen
authors.forename: Michael G
authors.initials: MG
authors.lastname: Sarr
authors.forename: Michael B
authors.initials: MB
authors.lastname: Farnell
mesh_terms: 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*