Stents, glue, etc.: is anything proven to help prevent pancreatic leaks/fistulae?

Schulick, Richard D.; Yoshimura, Kiyoshi
July 2009
Journal of Gastrointestinal Surgery;Jul2009, Vol. 13 Issue 7, p1184
Academic Journal
journal article
The article discusses the effect of three interventions, namely, use of octreotide, use of pancreatic duct stents and use of fibrin glue, on pancreatic fistula rates and intra-abdominal complications of pancreaticoduodenectomy. It cites the ability of octreotide, a synthetic octapeptide that imitates natural somatostatin, to reduce pancreatic fistula rates. Also mentioned is the potential of fibrin glue, a tissue adhesive composed of human fibrinogen and thrombin, to lessen pancreatic leakage by sealing the anastomosis.


Related Articles

  • Octreotide Does Not Prevent Pancreatic Fistula Following Pancreatoduodenectomy in Patients with Soft Pancreas and Non-dilated Duct: A Prospective Randomized Controlled Trial. Kurumboor, Prakash; Palaniswami, Kamalesh; Pramil, K.; George, Deepak; Ponnambathayil, Shaji; Varma, Deepak; Aikot, Sylesh; Palaniswami, Kamalesh Nadothottam // Journal of Gastrointestinal Surgery;Nov2015, Vol. 19 Issue 11, p2038 

    Background: Whether octreotide prevents pancreatic fistula following pancreatoduodenectomy is controversial and it is believed to be beneficial in soft glands and normal-sized ducts. The aim of this study is to assess the potential value of octreotide in reducing the incidence of...

  • The use of tissue sealant to prevent fistula formation after laparoscopic distal pancreatectomy. Velanovich, V. // Surgical Endoscopy;Jul2007, Vol. 21 Issue 7, p1222 

    Pancreatic fistula occurs in about 20% of patients undergoing laparoscopic pancreatectomy. A variety of techniques have been described to decrease this rate, with limited success. Fibrin sealants are products that promote the adhesion of tissue surfaces to each other. This report demonstrates...

  • Preservation of the Left Gastric Vein in Delayed Gastric Emptying After Pylorus-Preserving Pancreaticoduodenectomy Kurosaki, Isao; Hatakeyama, Katsuyoshi // Journal of Gastrointestinal Surgery;Jul2005, Vol. 9 Issue 6, p846 

    The definition of delayed gastric emptying (DGE) after pyloric-preserving pancreaticoduodenectomy (PPPD) varies among surgeons. We compared and evaluated three different definitions reported elsewhere. In addition, we investigated the correlation between multiple surgical factors and recovery of...

  • Pancreatic Fistula After Pancreaticoduodenectomy Is Iatrogenic in Nature. Shukla, Hari // Indian Journal of Surgery;Oct2015, Vol. 77 Issue 5, p426 

    The article discusses the presence and diagnosis of pancreatic fistula after pancreaticoduodenectomy (PD). It notes that fistula complication not easily accepted by the operative surgeons to be iatrogenic in nature. It then describes and discusses measures to prevent postoperative pancreatic...

  • Hand-Sewn Coloanal Anastomosis for Distal Rectal Cancer: Long-Term Clinical Outcomes Baik, Seung Hyuk; Kim, Nam Kyu; Lee, Kang Young; Sohn, Seung Kook; Cho, Chang Hwan // Journal of Gastrointestinal Surgery;Jul2005, Vol. 9 Issue 6, p775 

    As the oncologic safety of coloanal anastomosis (CAA) has been proved by many other authors, the incidence of CAA following ultralow anterior resection has increased. The purpose of this study is to evaluate the functional outcome and complications of patients who underwent ultralow anterior...

  • One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP). Bittner, R.; Leibl, B.; Kraft, B.; Schwarz, J. // Hernia;Oct2011, Vol. 15 Issue 5, p503 

    Background: A low rate of chronic pain and maximum postoperative comfort are the main goals today in inguinal hernia repair. This four-arm randomised trial compares these parameters after laparoscopic hernia repair (TAPP) with a standard heavyweight mesh (HW), a pure middleweight polypropylene...

  • A Comparison of Pancreaticogastrostomy and Pancreaticojejunostomy Following Pancreaticoduodenectomy Aranha, Gerard V.; Hodul, Pamela; Golts, Eugene; Oh, Daniel; Pickleman, Jack; Creech, Steven // Journal of Gastrointestinal Surgery;Jul2003, Vol. 7 Issue 5, p672 

    This retrospective study compares the results of pancreaticogastrostomy (PG) and pancreaticojejunostomy (PJ) in our institution, which has extensive experience in both techniques. Between the years of June 1995 and June 2001, 214 patients underwent pancreaticoduodenectomy (PD) at our...

  • Management of Hepatic Hemangiomas: A 14-Year Experience Herman, Paulo; Costa, Marcelo L.V.; Machado, Marcel Autran Cesar; Pugliese, Vincenzo; D'Albuquerque, Luis Augusto Carneiro; Machado, Marcel Cerqueira César; Gama-Rodrigues, Joaquim Jose; Saad, William Abrão; Machado, Marcel Cerqueira César; Saad, William Abrão // Journal of Gastrointestinal Surgery;Jul2005, Vol. 9 Issue 6, p853 

    Hemangioma is the most common primary tumor of the liver and its diagnosis has become increasingly prevalent. Most of these lesions are asymptomatic and are managed conservatively. Large hemangiomas are often symptomatic and reports of surgical intervention are becoming increasingly frequent. We...

  • Transanal Pull-Through Procedure with Delayed versus Immediate Coloanal Anastomosis for Anus-Preserving Curative Resection of Lower Rectal Cancer: A Case-Control Study. Xiong, Yong; Huang, Ping; Ren, Qing-Gui // American Surgeon;Jun2016, Vol. 82 Issue 6, p533 

    This case-control study compared the effectiveness and safety of transanal pull-through procedure (TPP) with delayed or immediate coloanal anastomosis (CAA) for anus-preserving curative resection of lower rectal cancer. Lower rectal cancer patients (n = 128) were hospitalized between January...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics