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Journal of Gastrointestinal Surgery
Published in: Journal of Gastrointestinal Surgery 8/2011

01-08-2011 | Original Article

Prevention, Evaluation, and Treatment of Leaks after Gastrointestinal Surgery

Prevention of Leaks After Pancreatic Surgery

Author: Keith D. Lillemoe

Published in: Journal of Gastrointestinal Surgery | Issue 8/2011

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Abstract

Pancreatic fistula remains a frequent and serious complication following pancreatic surgery. The incidence ranges from 10–20% in most series, with pancreatic texture being the most common predictor of the complication. There is little level 1 evidence to support any potential measures to reduce the incidence of pancreatic fistula.
Literature
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Lin JW, Cameron JL, Yeo CF, Riall TS, Lillemoe KL. Risk factors and outcomes in postpancreaticoduodenectomy pancreaticocutaneous fistula. J Gastrointest Surg 2004; 8:951–959PubMedCrossRef
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Zeng Q, Zhang Q, Han S, et al. Efficacy of Somatostatin and its analogues in prevention of postoperative complications after pancreaticoduodenectomy: A meta-analysis of randomized controlled trials. Pancreas 2008; 36: 18–25PubMedCrossRef
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Yeo CJ, Cameron JL, Maher MM, et al. A prospective randomized trial of pancreaticogastrostomy versus pancreaticojejunostomy after pancreaticoduodenectomy. Ann Surg 1995; 222:580–592PubMed
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Poon RT, Fan ST, Lo CM, et al. External drainage of pancreatic duct with a stent to reduce leakage rate of pancreaticojejunostomy after pancreaticoduodenectomy: a prospective randomized trial. Ann Surg 2007; 246:425–435PubMedCrossRef
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Berger AC, Howard TJ, Kennedy EP, et al. Does type of pancreaticojejunostomy after pancreaticoduodenectomy decrease rate of pancreatic fistula? A randomized, prospective, dual-institution trial. J Am Coll Surg 2009; 208:738–749PubMedCrossRef
Metadata
Title
Prevention, Evaluation, and Treatment of Leaks after Gastrointestinal Surgery
Prevention of Leaks After Pancreatic Surgery
Author
Keith D. Lillemoe
Publication date
01-08-2011
Publisher
Springer-Verlag
Published in
Journal of Gastrointestinal Surgery / Issue 8/2011
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI
https://doi.org/10.1007/s11605-011-1514-x

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