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Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage.

Publication ,  Journal Article
Gerke, H; White, R; Byrne, MF; Stiffier, H; Mitchell, RM; Hurwitz, HI; Morse, MA; Branch, MS; Jowell, PS; Czito, B; Clary, B; Pappas, TN ...
Published in: Dig Liver Dis
June 2004

BACKGROUND: It has been suggested that preoperative biliary drainage increases the risk of infectious complications of pancreaticoduodenectomy. AIMS: The aim of this study was to assess complications related to biliary stents/drains and postoperative morbidity in patients undergoing neoadjuvant chemoradiotherapy for periampullary cancer. PATIENTS: One hundred and eighty-four patients with periampullary neoplasms were prospectively selected for neoadjuvant external beam radiation therapy and 5-fluorouracil-based chemotherapy between 1995 and 2002. METHODS: The data were retrospectively completed and analysed with respect to biliary drainage, efficacy and complications of endoscopic biliary stents and postoperative morbidity. Patients who had undergone a surgical biliary bypass were excluded. RESULTS: Data were completed in 168 patients. One hundred and nineteen patients were treated with endoscopic biliary stents, 18 patients had a percutaneous biliary drain and 31 patients did not require biliary drainage. Hospitalisation for stent-related complications was necessary in 15% of the patients with endoscopic biliary stents. Seventy-two patients underwent pancreaticoduodenectomy. There was no significant difference in the rate of wound infections, intra-abdominal abscesses and overall complications between the groups with and without preoperative biliary drainage. CONCLUSIONS: Postoperative infectious complications are common in patients both with and without preoperative biliary drainage. A statistically significant difference in complication rates was not observed between these groups.

Duke Scholars

Published In

Dig Liver Dis

DOI

ISSN

1590-8658

Publication Date

June 2004

Volume

36

Issue

6

Start / End Page

412 / 418

Location

Netherlands

Related Subject Headings

  • Stents
  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Prospective Studies
  • Preoperative Care
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Neoadjuvant Therapy
  • Middle Aged
  • Male
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Gerke, H., White, R., Byrne, M. F., Stiffier, H., Mitchell, R. M., Hurwitz, H. I., … Baillie, J. (2004). Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage. Dig Liver Dis, 36(6), 412–418. https://doi.org/10.1016/s1590-8658(04)00096-9
Gerke, H., R. White, M. F. Byrne, H. Stiffier, R. M. Mitchell, H. I. Hurwitz, M. A. Morse, et al. “Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage.Dig Liver Dis 36, no. 6 (June 2004): 412–18. https://doi.org/10.1016/s1590-8658(04)00096-9.
Gerke H, White R, Byrne MF, Stiffier H, Mitchell RM, Hurwitz HI, et al. Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage. Dig Liver Dis. 2004 Jun;36(6):412–8.
Gerke, H., et al. “Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage.Dig Liver Dis, vol. 36, no. 6, June 2004, pp. 412–18. Pubmed, doi:10.1016/s1590-8658(04)00096-9.
Gerke H, White R, Byrne MF, Stiffier H, Mitchell RM, Hurwitz HI, Morse MA, Branch MS, Jowell PS, Czito B, Clary B, Pappas TN, Tyler DS, Baillie J. Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage. Dig Liver Dis. 2004 Jun;36(6):412–418.
Journal cover image

Published In

Dig Liver Dis

DOI

ISSN

1590-8658

Publication Date

June 2004

Volume

36

Issue

6

Start / End Page

412 / 418

Location

Netherlands

Related Subject Headings

  • Stents
  • Retrospective Studies
  • Radiotherapy, Adjuvant
  • Prospective Studies
  • Preoperative Care
  • Pancreaticoduodenectomy
  • Pancreatic Neoplasms
  • Neoadjuvant Therapy
  • Middle Aged
  • Male