Goyal, VikasMehta, J MJenaw, R K2003-09-092009-05-292003-09-092009-05-292003-09-09Goyal V, Mehta JM, Jenaw RK. Does preoperative biliary stenting affect the outcome of pancreatico-duodenectomy? Indian Journal of Gastroenterology. 2003 Sep-Oct; 22(5): 164-5http://imsear.searo.who.int/handle/123456789/64970BACKGROUND: Controversy exists whether preoperative endoscopic biliary stenting to reduce serum bilirubin level affects the outcome of pancreaticoduodenectomy. AIM: To determine whether preoperative endoscopic biliary stenting is associated with altered morbidity or mortality after pancreaticoduodenectomy. METHODS: In 37 consecutive patients with periampullary lesion undergoing pancreaticoduodenectomy over a 6-year period, frequency of septic complications, occurrence of pancreatic leak or bleeding, duration of hospital stay, and mortality were studied; of these, 15 had preoperative biliary stenting and 22 had not. RESULTS: Postoperative infective complications occurred more often in the patients with biliary stent than in those without (26% vs 0%, p=0.04). Postoperative recovery time, hospital stay and mortality were similar in the two groups. CONCLUSION: Preoperative biliary stenting is associated with septic complications, but this does not affect postoperative recovery after pancreaticoduodenectomy.engAdolescentAdultAgedBile DuctsBilirubin --bloodCase-Control StudiesFemaleHumansMaleMiddle AgedPancreatic Neoplasms --surgeryPancreaticoduodenectomyPreoperative CareStents --adverse effectsSurgical Wound Infection --epidemiologyJournal Article