title: Preoperative endoscopic pancreatic stenting for prophylaxis of pancreatic duct disruption during extirpation of a pancreatic head tumor.
abstract: BACKGROUND
  Pancreatic fistula is a major problem in minimal invasive surgery of the pancreas. To prevent the disruption of the pancreatic duct, the surgeon must recognize the site of the pancreatic duct exactly.
  
  
  METHODS
  We reviewed the cases of 7 patients who underwent preoperative endoscopic pancreatic stenting for the prophylaxis of pancreatic fistula development after enucleation of a benign pancreatic head tumor.
  
  
  RESULTS
  Preoperative endoscopic pancreatic stenting was successfully performed in all 7 patients. The level of serum amylase increased to 1500 IU/L on postoperative day 1, but levels recovered to normal within 3 days. None of the patients developed a pancreatic fistula.
  
  
  CONCLUSIONS
  Preoperative pancreatic duct stenting is a feasible, effective, and safe technique to prevent pancreatic duct disruption during enucleation of a benign tumor of the pancreatic head.
authors.affiliation: Department of General Surgical Science (Surgery I), Gunma University Graduate School of Medicine, 3-39-22 Showa-machi, Maebashi, Gunma 371-8511, Japan. tshimura@showa.gunma-u.ac.jp
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Shimura
authors.forename: Taketoshi
authors.initials: T
authors.lastname: Suehiro
authors.forename: Hideki
authors.initials: H
authors.lastname: Suzuki
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Mochida
authors.forename: Koji
authors.initials: K
authors.lastname: Okada
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Araki
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Kuwano
mesh_terms: D000293:Adolescent; D000328:Adult; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology* / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000009:adverse effects* / Q000379:methods*; D010183:Pancreatic Ducts / Q000293:injuries*; D010185:Pancreatic Fistula / Q000209:etiology* / Q000517:prevention & control*; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000601:surgery*; D011300:Preoperative Care; D015607:Stents