title: Effect of preoperative biliary drainage on outcome of classical pancreaticoduodenectomy.
abstract: OBJECTIVE
  To investigate the role of preoperative biliary drainage (PBD) in the outcome of classical pancreaticoduodenectomy.
  
  
  METHODS
  A 10-year retrospective data analysis was performed on patients (n = 48) undergoing pancreaticoduodenectomy from March 1994 to March 2004 in department of surgery at SMS medical college, Jaipur, India. Demographic variables, details of preoperative stenting, operative procedure and post operative complications were noted.
  
  
  RESULTS
  Preoperative biliary drainage was performed in 21 patients (43.5%). The incidence of septic complications was significantly higher in patients with biliary stent placement (P < 0.05, 0 vs 4). This group of patients also had a significantly higher minor biliary leak rate. Mortality and hospital stay in each group was comparable.
  
  
  CONCLUSIONS
  Within this study population the use of PBD by endoscopic stenting was associated with a high incidence of infective complications. These findings do not support the routine use of biliary stenting in patients prior to pancreatico-duodenectomy.
authors: Upgraded Department of Surgery, SMS Medical College, Jaipur, India. c.s.bhati@bham.ac.uk
authors: Chandra Shekhar
authors: CS
authors: Bhati
authors: Chandrashekhar
authors: C
authors: Kubal
authors: Pankaj Kumar
authors: PK
authors: Sihag
authors: Ankur Atal
authors: AA
authors: Gupta
authors: Raj Kamal
authors: RK
authors: Jenav
authors: Nicholas G
authors: NG
authors: Inston
authors: Jagdish M
authors: JM
authors: Mehta
mesh_terms: D000328:Adult; D000368:Aged; D001652:Bile Ducts / Q000601:surgery*; D004322:Drainage / Q000379:methods; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016577:Pancreaticoduodenectomy / Q000009:adverse effects* / Q000401:mortality; D011300:Preoperative Care / Q000379:methods; D015607:Stents; D016896:Treatment Outcome