A retrospective study comparing external and internal without stent pancreatic drainage after pancreatic operation

Gu, Jichun; Du, Jiali; Xie, Zhibo; Zou, Caifeng; He, Huijuan; Li, Heng-Chao; Yang, Lie; Hao, Siguo; Fu, Deliang; Jin, Chen; Li, Ji

doi:10.1016/j.sipas.2020.100009

Cited by 6 publications

(4 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, there are a number of technical descriptions on the placement of an external pancreatic stent in a PJ anastomosis 7–9,21,25–37 . These are detailed in Table 1 and discussed briefly below.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are a number of technical descriptions on the placement of an external pancreatic stent in a PJ anastomosis. [7][8][9]21,[25][26][27][28][29][30][31][32][33][34][35][36][37] These are detailed in Table 1 and discussed briefly below. To our knowledge, there are no systematic comparisons of the outcomes of these different methodologies.…”

Section: Overview Of Existing Techniquesmentioning

confidence: 99%

See 1 more Smart Citation

Construction of a pancreatojejunostomy with an external stent: A technical description

Lim

Chui

Sharma

et al. 2022

Journal of Surgical Oncology

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Overview Of Existing Techniquesmentioning

confidence: 99%

Construction of a pancreatojejunostomy with an external stent: A technical description

Lim

Chui

Sharma

et al. 2022

Journal of Surgical Oncology

View full text Add to dashboard Cite

“…In a meta-analysis, Zhao et al [45] concluded that external drainage of the pancreatic juice was not superior to internal drainage in reducing the incidence of POPF and, external drainage did not decrease the incidence of CR-POPF for soft pancreatic gland texture [46] . Although malnutrition could be responsible for the attenuated healing process of pancreatic anastomosis the relationship between sarcopenia and outcome following PD is debated.…”

Section: Impact Of Sarcopenia On Postoperative Complications In Pancr...mentioning

confidence: 99%

The implications of sarcopenia in the treatment and prognosis of pancreatic cancer

Weledji,

Gianotti

2024

HPB

View full text Add to dashboard Cite

“…In addition, several surgical strategies such as anastomotic stents for pancreatic duct width (<3mm), tissue sealants and autologous tissue patches have been introduced to decrease the incidence of clinically relevant POPF [45]. In a meta-analysis, Zhao et al [46] concluded that external drainage of the pancreatic juice was not superior to internal drainage in reducing the incidence of POPF and, external drainage did not decrease the incidence of CR-POPF for soft pancreatic gland texture [47]. Although malnutrition could be responsible for the attenuated healing process of pancreatic anastomosis the relationship between sarcopenia and outcome following pancreaticoduo denectomy is debated.…”

Section: Impact Of Sarcopenia On Postoperative Complications In Pancr...mentioning

confidence: 99%

The Implications of Sarcopenia in the Treatment and Prognosis of Pancreatic Cancer

Patrick Weledji,

Gianotti,

Oldani

et al. 2023

austinjsurg

View full text Add to dashboard Cite

Sarcopenia is the subclinical loss of skeletal muscle and strength and has been extensively studied in both cancer and surgical patients. Patients with sarcopenia are particularly vulnerable to major physiological stressors including surgery and surgical complications. Sarcopenia has thus gained significant recognition as an important prognostic factor for both complications and survival in cancer patients. The aim of this review was to evaluate the current literature on the effect of sarcopenia on the treatment and prognosis of pancreatic cancer. The prevalence of sarcopenia in pancreatic cancer patients range between 20% to 65% due to the heterogeneous groups of patients, difference in disease stage, and the different methods of measuring sarcopenia. Sarcopenia would be more accurately assessed by utilizing both imaging and clinical data, such as frailty. Although malnutrition could be responsible for the attenuated healing process of pancreatic anastomosis the relationship between sarcopenia and outcome following pancreaticoduodenectomy is debated. Most studies showed a higher risk of Postoperative Pancreatic Fistula (POPF) formation in patients with concurrent sarcopenia and high fat mass (sarcopenic obesity). Sarcopenia seems generally to be associated with lower survival. The assessment of sarcopenia can therefore lead to changes in management strategy, patient selection, and improved informed consent prior to surgical resection of pancreatic cancer. An improved prediction of clinically relevant pancreatic fistula formation after pancreatic surgery using preoperative Computed Tomography (CT) scan, including a fistula risk score using sarcopenic obesity and subcutaneous fat area will be useful. Although treatment for sarcopenia still remains an area of research a protocol to improve nutrition and fitness preoperatively may improve sarcopenia and surgical outcome.

show abstract

A retrospective study comparing external and internal without stent pancreatic drainage after pancreatic operation

Cited by 6 publications

References 30 publications

Construction of a pancreatojejunostomy with an external stent: A technical description

Construction of a pancreatojejunostomy with an external stent: A technical description

The implications of sarcopenia in the treatment and prognosis of pancreatic cancer

The Implications of Sarcopenia in the Treatment and Prognosis of Pancreatic Cancer

Contact Info

Product

Resources

About