Local pancreatic resection with preoperative endoscopic transpapillary stenting.
BACKGROUND
Pancreatic fistula, although not common, can cause serious complications after pancreatectomy. During local pancreatectomy, injury to the main pancreatic duct (in addition to the accessory and side branch ducts) increases the risk of pancreatic fistula formation. Nonetheless, local pancreatic resection maintains the advantage of preserving pancreatic parenchyma.


METHODS
In this study, we reviewed the cases of 5 patients who underwent preoperative endoscopic transpapillary pancreatic stenting to help prevent refractory fistula development after local pancreatic resection.


RESULTS
Stenting was successful in all 5 patients, and none developed a refractory grade C postoperative pancreatic fistula.


CONCLUSIONS
These results suggest that in selected patients, preoperative endoscopic pancreatic stenting may be an effective prophylactic measure to lower the risk of refractory grade C fistula formation after local pancreatic resection.
Hirota
Masahiko
M
Department of Gastroentelogical Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto-city, 860-0811 Japan.
Kanemitsu
Keiichiro
K
Takamori
Hiroshi
H
Chikamoto
Akira
A
Ohkuma
Toshiyuki
T
Komori
Hiroyuki
H
Miyanari
Nobutomo
N
Ishiko
Takatoshi
T
Baba
Hideo
H
D000328:Adult; D000368:Aged; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods*; D010185:Pancreatic Fistula / Q000209:etiology / Q000517:prevention & control*; D011300:Preoperative Care; D015607:Stents