Early Complications of Internal Versus External Pancreatic Duct stent in Patients with Pancreaticoduodenectomy

Simple item page
dc.contributor.authorTalukder, Tuhinen_US
dc.contributor.authorIslam, Kazi Mazharulen_US
dc.contributor.authorElahi, Mohammad Mahbuben_US
dc.contributor.authorAwal, Mohammad Abdulen_US
dc.contributor.authorAzam, ANM Nureen_US
dc.contributor.authorRayhan, Golam Mahmuden_US
dc.contributor.authorHakim, H A Nazmulen_US
dc.date.accessioned2024-12-07T11:12:01Z
dc.date.available2024-12-07T11:12:01Z
dc.date.issued2024-09
dc.description.abstractBackground: Pancreaticoduodenectomy (PD) is a complex surgical procedure with significant postoperative complications, including pancreatic fistula, delayed gastric emptying, and intra-abdominal infections. This study aims to compare the early postoperative complications of internal versus external pancreatic duct stents in patients undergoing PD. Material & Methods: This prospective observational study was conducted at Dhaka Medical College Hospital from January 1, 2023, to December 27, 2023. A total of 40 patients scheduled for PD were divided into two groups: 20 managed with internal stents and 20 with external stents. Data on demographic characteristics, per-operative factors, and postoperative complications were collected and analyzed. Results: The study population had a mean age of 56.78 years, with males constituting 65%. The most common histopathological diagnosis was periampullary carcinoma (50%). In the internal stenting group, 10% had a soft pancreas, 65% had a firm pancreas, and 25% had a hard pancreas. In the external stenting group, 40% had a soft pancreas, 50% had a firm pancreas, and 10% had a hard pancreas. Wound infections occurred in 10% of the internal stenting group and 15% of the external stenting group. Intra-abdominal collections were found in 5% of the internal stenting group and 10% of the external stenting group. GI bleeding was absent in the internal stenting group but occurred in 5% of the external stenting group. Intra-abdominal bleeding was absent in the internal stenting group but present in 10% of the external stenting group. Delayed gastric emptying was noted in 5% of participants in both groups. Grade A pancreatic fistula was observed in 10% of the internal stenting group and 15% of the external stenting group. Grade B and C pancreatic fistulas were only present in the external stenting group, at rates of 10% and 5%, respectively. Conclusions: Internal pancreatic duct stents are associated with lower incidences of wound infections, intra-abdominal collections, and severe pancreatic fistulas compared to external stents. These findings suggest that internal stents may offer better postoperative outcomes, although stent selection should be individualized based on patient-specific factors. Further research is warranted to confirm these results and guide clinical practice.en_US
dc.identifier.affiliationsJunior Consultant, Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, Email: tuhin_dmc58@yahoo.com, Orcid ID: 0009-0004-0887-1887en_US
dc.identifier.affiliationsJunior Consultant, Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, Email: mazhar.dmc61@gmail.com, Orcid ID:0009-0009-2648-5994en_US
dc.identifier.affiliationsSenior Consultant, Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, Email: melahi_53@yahoo.com, Orcid ID: 0009-0002-4498-5422en_US
dc.identifier.affiliationsSenior Consultant, Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, Email: a.awal98@yahoo.com, Orcid ID: 0009-0003-0919-7081en_US
dc.identifier.affiliationsJunior Consultant, Department of Surgery, Sheikh Hasina National Institute of Burn and Plastic Surgery, Dhaka, Bangladesh, Email: nashanafiz@gmail.com, Orcid ID:0000-0002-3590-2405en_US
dc.identifier.affiliationsJunior Consultant, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh, Email: rayhan.dmc.k63@gmail.com, Orcid ID: 0009-0008-7185-0797en_US
dc.identifier.affiliationsAssociate Professor, Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh, Email: nazmulhakim75@gmail.com, Orcid ID:0000-0002-3590-3248en_US
dc.identifier.citationTalukder Tuhin, Islam Kazi Mazharul, Elahi Mohammad Mahbub, Awal Mohammad Abdul, Azam ANM Nure, Rayhan Golam Mahmud, Hakim H A Nazmul. Early Complications of Internal Versus External Pancreatic Duct stent in Patients with Pancreaticoduodenectomy. Annals of International Medical and Dental Research. 2024 Sep; 10(5): 54-63en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/241040
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber5en_US
dc.relation.volume10en_US
dc.source.urihttps://doi.org/10.53339/aimdr.2024.10.5.8en_US
dc.subjectPancreaticoduodenectomyen_US
dc.subjectPancreatic Duct Stentsen_US
dc.subjectInternal Stentsen_US
dc.subjectExternal Stentsen_US
dc.subjectPostoperative Complicationsen_US
dc.subjectPancreatic Fistulaen_US
dc.subjectDelayed Gastric Emptyingen_US
dc.subjectIntra-Abdominal Collections.en_US
dc.titleEarly Complications of Internal Versus External Pancreatic Duct stent in Patients with Pancreaticoduodenectomyen_US
dc.typeJournal Articleen_US
Files
Original bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
aimdr2024v10n5p54.pdf
Size:
251.47 KB
Format:
Adobe Portable Document Format
Download
Collections
Annals of International Medical and Dental Research