Usefulness of performing a pancreaticojejunostomy with an internal stent after a pancreatoduodenectomy.
OBJECTIVE
In pancreaticojejunostomy (PJ), the occurrence of an injury during the removal of a stented tube is sometimes related to pancreatitis or late-onset stenosis of the pancreatic duct. In this study, we compare the outcomes of a PJ with an external stent versus an internal stent in a randomized study.


METHODS
We compared the complications including pancreatic fistula, mortality, and postoperative hospital stay of 43 patients who had PJ with an external stent (group E) or PJ with an internal stent (group I) after a pancreaticoduodenectomy (PD).


RESULTS
Pancreatic fistula occurred in 8 patients (36.4%) in group E, while it only was seen in 7 patients (33.3%) in group I. Pancreatitis was recognized in 3 patients in group E, while there was no patient in whom an obstruction due to an internal stent was suspected.


CONCLUSIONS
Pancreaticojejunostomy with an internal stent is therefore considered to be an effective treatment alternative after PD, with an acceptable morbidity and no mortality.
Department of Surgery, Graduate School of Medicine, Kobe University, Kobe, Japan.
Yasuhisa
Y
Kamoda
Yasuhiro
Y
Fujino
Ippei
I
Matsumoto
Makoto
M
Shinzeki
Tetsuya
T
Sakai
Yoshikazu
Y
Kuroda
D000328:Adult; D000368:Aged; D001650:Bile Duct Neoplasms / Q000601:surgery; D004379:Duodenal Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000209:etiology; D010190:Pancreatic Neoplasms / Q000601:surgery; D016577:Pancreaticoduodenectomy; D010193:Pancreaticojejunostomy / Q000379:methods*; D010195:Pancreatitis / Q000209:etiology; D011183:Postoperative Complications; D015607:Stents; D013274:Stomach Neoplasms / Q000601:surgery