کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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4278657 | 1611505 | 2014 | 10 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Preoperative cholangitis during biliary drainage increases the incidence of postoperative severe complications after pancreaticoduodenectomy Preoperative cholangitis during biliary drainage increases the incidence of postoperative severe complications after pancreaticoduodenectomy](/preview/png/4278657.png)
BackgroundIt remains controversial how preoperative biliary drainage affects occurrence of severe complications after pancreaticoduodenectomy (PD).MethodsOne hundred twenty-seven patients (60 external drainage and 67 internal drainage) required biliary drainage before PD were retrospectively reviewed.ResultsPreoperative cholangitis in internal drainage group (22.4%) occurred significantly more often than in external drainage group (1.7%; P < .001). The incidence of severe complications (grade III or more) was significantly higher in patients with cholangitis (62.5%) than in those without it (25.2%; P = .002). The incidence of delayed gastric emptying was significantly higher in patients with cholangitis (31.2%) than in those without it (5.4%; P = .001). A multivariate logistic regression analysis revealed that preoperative cholangitis (odds ratio 4.61, 95% confidence interval 1.3 to 16.5; P = .019) was the independent risk factor for severe complications after PD.ConclusionsPreoperative cholangitis during biliary drainage significantly increases incidence of severe complications after PD.
Journal: The American Journal of Surgery - Volume 208, Issue 1, July 2014, Pages 1–10