Document Detail


A prospective randomized controlled trial of internal versus external drainage with pancreaticojejunostomy for pancreaticoduodenectomy.
MedLine Citation:
PMID:  20074698     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: A stent often is placed across the pancreaticojejunostomy. However, there is no report compared between internal drainage and external drainage. METHODS: We conducted a prospective randomized trial (NCT00628186 registered at http://ClinicalTrials.gov) with 100 patients who underwent pancreaticoduodenectomy and we compared the effects on postoperative course. RESULTS: The incidence of pancreatic fistula according to the International Study Group on Pancreatic Fistula criteria was not different (external, 20%; vs internal, 26%), and the incidence of the other complications was similar between stent types. The median postoperative hospital stay was 21 days (range, 8-163 d) in the internal drainage group, which was shorter than the median stay of 24 days (range, 21-88 d) in the external drainage group (P = .016). CONCLUSIONS: Both internal drainage and external drainage were safety devices for pancreaticojejunostomy. Internal drainage simplifies postoperative managements and it might shorten postoperative stay for pancreaticoduodenectomy.
Authors:
Masaji Tani; Manabu Kawai; Seiko Hirono; Shinomi Ina; Motoki Miyazawa; Atsushi Shimizu; Hiroki Yamaue
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial     Date:  2010-01-15
Journal Detail:
Title:  American journal of surgery     Volume:  199     ISSN:  1879-1883     ISO Abbreviation:  Am. J. Surg.     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-07-08     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  759-64     Citation Subset:  AIM; IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Second Department of Surgery, Wakayama Medical University, School of Medicine, 811-1 Kimiidera, Wakayama 641-8510, Japan.
Data Bank Information
Bank Name/Acc. No.:
ClinicalTrials.gov/NCT00628186
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MeSH Terms
Descriptor/Qualifier:
Abscess / etiology,  surgery
Adult
Aged
Aged, 80 and over
Chi-Square Distribution
Drainage / methods*
Female
Humans
Male
Middle Aged
Pancreatic Diseases / surgery*
Pancreatic Fistula / etiology,  surgery*
Pancreaticoduodenectomy*
Pancreaticojejunostomy*
Postoperative Complications / etiology,  surgery*
Prospective Studies
Statistics, Nonparametric
Stents*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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