Endoscopic Transpapillary Pancreatic Duct Stent Placement for Symptomatic Peripancreatic Fluid Collection Caused by Clinically Relevant Postoperative Pancreatic Fistula after Distal Pancreatectomy

Yusuke Watanabe, Keijiro Ueda, So Nakamura, Sho Endo, Shingo Kozono, Kazuyoshi Nishihara, Toru Nakano

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

This study aimed to evaluate the safety and efficacy of endoscopic transpapillary pancreatic duct stent placement (ETPS) for symptomatic peripancreatic fluid collection caused by postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP). ETPS was also compared with percutaneous drainage (PTD). Retrospectively 38 patients were studied who developed clinically relevant POPF. Of 38 patients, 4 underwent PTD and 11 underwent ETPS. Technical and clinical success rates of ETPS (100% and 91%, respectively) were comparable with PTD (100% and 75%, respectively). The tip of a pancreatic stent was placed over the pancreatic stump in 4 patients and draining of pus through the pancreatic stent was observed. The hospital stay after DP and the interval from intervention to discharge were significantly shorter in the ETPS group than in the PTD group. ETPS is safe and successful for managing peripancreatic fluid collection caused by POPF after DP and should be considered as a therapeutic option.

Original languageEnglish
Pages (from-to)261-266
Number of pages6
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume29
Issue number4
DOIs
Publication statusPublished - Aug 1 2019
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery

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