Systematic review and meta-analysis of outcomes after intraoperative pancreatic duct stent placement during pancreaticoduodenectomy

2012 ◽  
Vol 99 (8) ◽  
pp. 1050-1061 ◽  
Author(s):  
J. J. Xiong ◽  
K. Altaf ◽  
R. Mukherjee ◽  
W. Huang ◽  
W. M. Hu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Stent Placement ◽  
Meta Analysis ◽  
Pancreatic Duct Stent

Systematic review and meta-analysis of outcomes after intraoperative pancreatic duct stent placement during pancreaticoduodenectomy

Pancreatology ◽  
2013 ◽  
Vol 13 (2) ◽  
pp. e85
Author(s):  
J.J. Xiong ◽  
K. Altaf ◽  
R. Mukherjee ◽  
W. Huang ◽  
W.M. Hu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Stent Placement ◽  
Meta Analysis ◽  
Pancreatic Duct Stent

scholarly journals External pancreatic duct stent reduces pancreatic fistula: A meta-analysis and systematic review

2014 ◽  
Vol 12 (8) ◽  
pp. 827-832 ◽  
Author(s):  
Krishen Patel ◽  
Anthony Teta ◽  
Prashant Sukharamwala ◽  
Jonathan Thoens ◽  
Mauricio Szuchmacher ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Fistula ◽  
Pancreatic Duct ◽  
Meta Analysis ◽  
Pancreatic Duct Stent

scholarly journals Endoscopic transmural drainage is associated with improved outcomes in disconnected pancreatic duct syndrome: a systematic review and meta-analysis

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Eric Chong ◽  
Chathura Bathiya Ratnayake ◽  
Samantha Saikia ◽  
Manu Nayar ◽  
Kofi Oppong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pancreatic Duct ◽  
Meta Analysis ◽  
Fluid Collection ◽  
Significant Heterogeneity ◽  
Success Rates ◽  
Surgical Interventions ◽  
Transmural Drainage ◽  
Transpapillary Drainage ◽  
Duct Syndrome

Abstract Background Disconnected pancreatic duct syndrome (DPDS) is a complication of acute necrotizing pancreatitis in the neck and body of the pancreas often manifesting as persistent pancreatic fluid collection (PFC) or external pancreatic fistula (EPF). This systematic review and pairwise meta-analysis aimed to review the definitions, clinical presentation, intervention, and outcomes for DPDS. Methods The PubMed, EMBASE, MEDLINE, and SCOPUS databases were systematically searched until February 2020 using the PRISMA framework. A meta-analysis was performed to assess the success rates of endoscopic and surgical interventions for the treatment of DPDS. Success of DPDS treatment was defined as long-term resolution of symptoms without recurrence of PFC, EPF, or pancreatic ascites. Results Thirty studies were included in the quantitative analysis comprising 1355 patients. Acute pancreatitis was the most common etiology (95.3%, 936/982), followed by chronic pancreatitis (3.1%, 30/982). DPDS commonly presented with PFC (83.2%, 948/1140) and EPF (13.4%, 153/1140). There was significant heterogeneity in the definition of DPDS in the literature. Weighted success rate of endoscopic transmural drainage (90.6%, 95%-CI 81.0–95.6%) was significantly higher than transpapillary drainage (58.5%, 95%-CI 36.7–77.4). Pairwise meta-analysis showed comparable success rates between endoscopic and surgical intervention, which were 82% (weighted 95%-CI 68.6–90.5) and 87.4% (95%-CI 81.2–91.8), respectively (P = 0.389). Conclusions Endoscopic transmural drainage was superior to transpapillary drainage for the management of DPDS. Endoscopic and surgical interventions had comparable success rates. The significant variability in the definitions and treatment strategies for DPDS warrant standardisation for further research.

4621 Alterations in pancreatic ductal morphology following small diameter, long length, unflanged pancreatic duct stent placement.

2000 ◽  
Vol 51 (4) ◽  
pp. AB185
Author(s):  
Evan L. Fogel ◽  
Stuart Sherman ◽  
Benedict M. Devereaux ◽  
Rungsun Rerknimitr ◽  
Susan D. Phillips ◽  
...  
Keyword(s):  
Pancreatic Duct ◽  
Stent Placement ◽  
Small Diameter ◽  
Pancreatic Duct Stent
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