BACKGROUND: Morbidity associated with pancreaticoduodenectomy usually results from complications associated with the pancreaticojejunal anastomosis, in particular, a pancreatic leak. Four patients with retained transanastomotic pancreatic stent-induced complications after pancreaticduodenectomy were identified. METHODS: Medical records for the 4 patients were reviewed, and telephone interviews were conducted. OBSERVATIONS: Each patient underwent pancreaticoduodenectomy for a peripapillary tumor with creation of a pancreaticojejunal anastomosis by using an internal 8F Silastic stent. Subsequent evaluation for steatorrhea (n=3) or recurrent pancreatitis (n=1) led to discovery of a retained pancreatic stent. In one patient, the stent was incidentally discovered. Steatorrhea significantly improved (n=1) or resolved (n=2) after stent removal. The patient with pancreatitis has not experienced another episode. CONCLUSIONS: The possibility of a retained stent should be considered in patients presenting with steatorrhea or pancreatitis after pancreaticoduodenectomy.
BACKGROUND: Morbidity associated with pancreaticoduodenectomy usually results from complications associated with the pancreaticojejunal anastomosis, in particular, a pancreatic leak. Four patients with retained transanastomotic pancreatic stent-induced complications after pancreaticduodenectomy were identified. METHODS: Medical records for the 4 patients were reviewed, and telephone interviews were conducted. OBSERVATIONS: Each patient underwent pancreaticoduodenectomy for a peripapillary tumor with creation of a pancreaticojejunal anastomosis by using an internal 8F Silastic stent. Subsequent evaluation for steatorrhea (n=3) or recurrent pancreatitis (n=1) led to discovery of a retained pancreatic stent. In one patient, the stent was incidentally discovered. Steatorrhea significantly improved (n=1) or resolved (n=2) after stent removal. The patient with pancreatitis has not experienced another episode. CONCLUSIONS: The possibility of a retained stent should be considered in patients presenting with steatorrhea or pancreatitis after pancreaticoduodenectomy.
Authors: Patricia M Ortega; Gabriel Zozaya-Larequi; Jorge Arredondo; Pablo Martí-Cruchaga; Manuel Bellver; Carlos Sánchez-Justicia; Fernando Rotellar; Fernando Pardo Journal: Surg Today Date: 2014-04-22 Impact factor: 2.549
Authors: Chang-Il Kwon; Sung Hoon Choi; Kyu Seok Kim; Jong Pil Moon; Sehwan Park; Jinkyung Jeon; Gwangil Kim; Jae Young Jang; Min Je Sung; Kwang Hyun Ko; Jun Sik Son Journal: Ann Surg Treat Res Date: 2022-02-04 Impact factor: 1.859