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01-06-2020 | Pancreaticojejunostomy | Original Article

Significance of fistulography findings to the healing time of postoperative pancreatic fistula after pancreaticoduodenectomy

Authors: Yoshito Tomimaru, Kaishu Tanaka, Kozo Noguchi, Shing o Noura, Hiroshi Imamura, Takashi Iwazawa, Keizo Dono

Published in: Surgery Today | Issue 6/2020

Abstract

Purpose

Pancreatic fistula (PF) is a common and serious complications after pancreaticoduodenectomy (PD). However, few studies have discussed the time required for PF healing in patients with this complication. This study investigates the PF healing time (PF-HT) and its association with findings of postoperative fistulography performed via the drainage tubes.

Methods

The subjects of this study were 35 patients with PF among a total of 144 patients who underwent PD for periampullary diseases in our hospital. PF-HT, which was defined as the duration from the first postoperative fistulography to removal of the drainage tubes, was assessed in the enrolled patients. Fistulography findings were classified into four types based on fluid collection and communication with the jejunal loop. We investigated the factors affecting the PF-HT, including the fistulography findings.

Results

The average PF-HT was 22 ± 20 days. Multivariate analysis revealed that the fistulography type was the only independent factor that affected PF-HT significantly. The PF-HT was significantly shorter in patients without fluid collection than in those with fluid collection. Moreover, those patients with fluid collection and a communication had a significantly shorter PF-HT than those without a communication.

Conclusions

We found that fistulography findings were significantly associated with the PF-HT. This suggests that fistulography findings could help to predict the time needed for PF healing.

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Title: Significance of fistulography findings to the healing time of postoperative pancreatic fistula after pancreaticoduodenectomy
Authors: Yoshito Tomimaru
Kaishu Tanaka
Kozo Noguchi
Shing o Noura
Hiroshi Imamura
Takashi Iwazawa
Keizo Dono
Publication date: 01-06-2020
Publisher: Springer Singapore
Keywords: Pancreaticojejunostomy
Fistulography
Published in: Surgery Today / Issue 6/2020
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI: https://doi.org/10.1007/s00595-019-01932-4

At a glance: The STEP trials

Springer Medicine

Significance of fistulography findings to the healing time of postoperative pancreatic fistula after pancreaticoduodenectomy

Abstract

Purpose

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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