title: Local pancreatic resection with preoperative endoscopic transpapillary stenting.
abstract: 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.
authors: Department of Gastroentelogical Surgery, Kumamoto University Graduate School of Medical Sciences, 1-1-1 Honjo, Kumamoto-city, 860-0811 Japan.
authors: Masahiko
authors: M
authors: Hirota
authors: Keiichiro
authors: K
authors: Kanemitsu
authors: Hiroshi
authors: H
authors: Takamori
authors: Akira
authors: A
authors: Chikamoto
authors: Toshiyuki
authors: T
authors: Ohkuma
authors: Hiroyuki
authors: H
authors: Komori
authors: Nobutomo
authors: N
authors: Miyanari
authors: Takatoshi
authors: T
authors: Ishiko
authors: Hideo
authors: H
authors: Baba
mesh_terms: 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