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

H Gerke; R White; M F Byrne; H Stiffier; R M Mitchell; H I Hurwitz; M A Morse; M S Branch; P S Jowell; B Czito; B Clary; T N Pappas; D S Tyler; J Baillie

doi:10.1016/S1590-8658(04)00096-9

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

Journal article

Peer reviewed

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

H Gerke, R White, M F Byrne, H Stiffier, R M Mitchell, H I Hurwitz, M A Morse, M S Branch, P S Jowell, B Czito, …

Digestive and liver disease, Vol.36(6), pp.412-418

06/2004

DOI: 10.1016/S1590-8658(04)00096-9

PMID: 15248382

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Abstract

It has been suggested that preoperative biliary drainage increases the risk of infectious complications of pancreaticoduodenectomy. 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. 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. 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. 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. 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.

Drainage

Pancreaticoduodenectomy - mortality

Prospective Studies

Humans

Middle Aged

Male

Ampulla of Vater

Pancreaticoduodenectomy - adverse effects

Fluorouracil - therapeutic use

Jaundice, Obstructive - etiology

Aged, 80 and over

Adult

Female

Neoadjuvant Therapy

Retrospective Studies

Chemotherapy, Adjuvant

Endoscopy, Digestive System

Radiotherapy, Adjuvant

Stents

Jaundice, Obstructive - therapy

Preoperative Care

Antimetabolites, Antineoplastic - therapeutic use

Aged

Bile

Pancreatic Neoplasms - therapy

Details

Title: Subtitle: Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage
Creators: H Gerke - Division of Gastroenterology, Department of Medicine, Duke University Medical Center, Box 3189, Durham, NC 27710, USA. henninggerke@web.de
R White
M F Byrne
H Stiffier
R M Mitchell
H I Hurwitz
M A Morse
M S Branch
P S Jowell
B Czito
B Clary
T N Pappas
D S Tyler
J Baillie
Resource Type: Journal article
Publication Details: Digestive and liver disease, Vol.36(6), pp.412-418
DOI: 10.1016/S1590-8658(04)00096-9
PMID: 15248382
ISSN: 1590-8658
eISSN: 1878-3562
Language: English
Date published: 06/2004
Academic Unit: Gastroenterology and Hepatology; Internal Medicine
Record Identifier: 9984094485602771

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