Complications of temporary pancreatic stent insertion for pancreaticojejunal anastomosis during pancreaticoduodenectomy

Michael J. Levy, Suresh Chari, Douglas G. Adler, Jonathan E. Clain, Christopher J. Gostout, Gavin C. Harewood, Randall K. Pearson, Bret T. Petersen, Michael G. Sarr, Michael B. Farnell

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background: Morbidity associated with pancreaticoduodenectomy usually results from complications associated with the pancreaticojejunal anastomosis, in particular, a pancreatic leak. Four patients with retained transanastomotic pancreatic stent-induced complications after pancreaticduodenectomy were identified. Methods: Medical records for the 4 patients were reviewed, and telephone interviews were conducted. Observations: Each patient underwent pancreaticoduodenectomy for a peripapillary tumor with creation of a pancreaticojejunal anastomosis by using an internal 8F Silastic stent. Subsequent evaluation for steatorrhea (n = 3) or recurrent pancreatitis (n = 1) led to discovery of a retained pancreatic stent. In one patient, the stent was Incidentally discovered. Steatorrhea significantly Improved (n = 1) or resolved (n = 2) after stent removal. The patient with pancreatitis has not experienced another episode. Conclusions: The possibility of a retained stent should be considered in patients presenting with steatorrhea or pancreatitis after pancreaticoduodenectomy.

Original languageEnglish (US)
Pages (from-to)719-724
Number of pages6
JournalGastrointestinal endoscopy
Volume59
Issue number6
DOIs
StatePublished - May 1 2004

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Gastroenterology

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