Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable periampullary tumors

Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable... Langenbecks Arch Surg (2017) 402:1187–1196 https://doi.org/10.1007/s00423-017-1635-0 ORIGINAL ARTICLE Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable periampullary tumors 1 1 1 Jean-Baptiste Cazauran & Julie Perinel & Vahan Kepenekian & 1 1 2 2 Michel El Bechwaty & Gennaro Nappo & Mathieu Pioche & Thierry Ponchon & Mustapha Adham Received: 17 July 2017 /Accepted: 25 October 2017 /Published online: 31 October 2017 Springer-Verlag GmbH Germany 2017 Abstract to Bupfront-surgery^ group (95%CI [24.4–46.2]; p <0.001). Objective Routine preoperative endoscopic biliary drainage The Bunnecessary-PEBD^ group had a post-PEBD complica- (PEBD) is not recommended for malignant periampullary tu- tion rate of 34.6%, and 7.7% were unresectable due to severe mors (MPT) with uncomplicated obstructive cholestasis, yet fibrosis following PEBD-induced acute pancreatitis. many patients still receive routine PEBD. Herein were Perioperative severe complication rate was higher in the assessed perioperative outcomes of routine PEBD in resect- Bunnecessary-PEBD^ (73.1%) than in the Bupfront-surgery^ able MPT with uncomplicated biliary obstruction. group (37.5%, p = 0.005), as was Clavien-Dindo grade > II Methods From 2008 to 2014, we identified three groups post-operative complication rate (65.4 and 37.5%; p =0.03). among patients undergoing surgery for resectable MPT: Conclusion Routine preoperative biliary drainage is associat- Bunnecessary-PEBD^ http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals

Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable periampullary tumors

Loading next page...
 
/lp/springer_journal/unnecessary-preoperative-biliary-drainage-impact-on-perioperative-Laz3uLu5bT
Publisher
Springer Journals
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-017-1635-0
Publisher site
See Article on Publisher Site

Abstract

Langenbecks Arch Surg (2017) 402:1187–1196 https://doi.org/10.1007/s00423-017-1635-0 ORIGINAL ARTICLE Unnecessary preoperative biliary drainage: impact on perioperative outcomes of resectable periampullary tumors 1 1 1 Jean-Baptiste Cazauran & Julie Perinel & Vahan Kepenekian & 1 1 2 2 Michel El Bechwaty & Gennaro Nappo & Mathieu Pioche & Thierry Ponchon & Mustapha Adham Received: 17 July 2017 /Accepted: 25 October 2017 /Published online: 31 October 2017 Springer-Verlag GmbH Germany 2017 Abstract to Bupfront-surgery^ group (95%CI [24.4–46.2]; p <0.001). Objective Routine preoperative endoscopic biliary drainage The Bunnecessary-PEBD^ group had a post-PEBD complica- (PEBD) is not recommended for malignant periampullary tu- tion rate of 34.6%, and 7.7% were unresectable due to severe mors (MPT) with uncomplicated obstructive cholestasis, yet fibrosis following PEBD-induced acute pancreatitis. many patients still receive routine PEBD. Herein were Perioperative severe complication rate was higher in the assessed perioperative outcomes of routine PEBD in resect- Bunnecessary-PEBD^ (73.1%) than in the Bupfront-surgery^ able MPT with uncomplicated biliary obstruction. group (37.5%, p = 0.005), as was Clavien-Dindo grade > II Methods From 2008 to 2014, we identified three groups post-operative complication rate (65.4 and 37.5%; p =0.03). among patients undergoing surgery for resectable MPT: Conclusion Routine preoperative biliary drainage is associat- Bunnecessary-PEBD^

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: Oct 31, 2017

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off