Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery
Background: Pancreaticouodenectomy (Whipple surgery) is the chosen treatment in patients with malignant or benign tumors of the pancreatic head. Pancreatic anastomosis is the most important part of Whipple surgery. Pancreatic fistula is the most common postoperative complication. Methods: This pros...
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| Format: | Article |
| Language: | fas |
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Isfahan University of Medical Sciences
2016-12-01
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| Series: | مجله دانشکده پزشکی اصفهان |
| Subjects: | |
| Online Access: | http://jims.mui.ac.ir/index.php/jims/article/view/7204 |
| _version_ | 1797719335146356736 |
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| author | Behnam Sanei Mohsen Kolahdouzan Hamid Reza Jafari Mohammad Hossein Sanei |
| author_facet | Behnam Sanei Mohsen Kolahdouzan Hamid Reza Jafari Mohammad Hossein Sanei |
| author_sort | Behnam Sanei |
| collection | DOAJ |
| description | Background: Pancreaticouodenectomy (Whipple surgery) is the chosen treatment in patients with malignant or benign tumors of the pancreatic head. Pancreatic anastomosis is the most important part of Whipple surgery. Pancreatic fistula is the most common postoperative complication.
Methods: This prospective study was conducted on patients with pancreatic tumor who went under pancreaticodoudenectomy and pancreaticojujenosotmy during the years 2011-2016 in Isfahancity, Iran. The incidence of postoperative pancreatic fistula was evaluated based on the criteria of International Study Group of Pancreatic Fistula (ISGPF). Data were analyzed using chi-square test via SPSS22 software. P-value < 0.05 considered significant.
Findings: 82 patients participated in this survey. The rate of pancreatic fistula was 26 (31.7%) and 14 cases (17%) based on the right and left drainage, respectively. Although, there was meaningful relationship between the pancreatic fistula and pancreatic duct size, age, gender, pancreatic texture, and tumor histology had no effect on its incidence.
Conclusion: Based on our analysis, a pancreatic duct less than 3 mm was considered a risk factor regarding the incidence of pancreatic fistula. In addition, the rate of pancreatic fistula was different based on the drainage location. |
| first_indexed | 2024-03-12T09:03:19Z |
| format | Article |
| id | doaj.art-0cb652b5a0444e86aa7f80a0c7e68094 |
| institution | Directory Open Access Journal |
| issn | 1027-7595 1735-854X |
| language | fas |
| last_indexed | 2024-03-12T09:03:19Z |
| publishDate | 2016-12-01 |
| publisher | Isfahan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشکده پزشکی اصفهان |
| spelling | doaj.art-0cb652b5a0444e86aa7f80a0c7e680942023-09-02T15:28:59ZfasIsfahan University of Medical Sciencesمجله دانشکده پزشکی اصفهان1027-75951735-854X2016-12-0134399110611132327Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple SurgeryBehnam Sanei0Mohsen Kolahdouzan1Hamid Reza Jafari2Mohammad Hossein Sanei3Associate Professor, Department of Pancreatic and Hepatobiliary and Transplant Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssistant Professor, Department of Thoracic Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranStudent of Medicine, Student Research Committee, School of Medicine, Isfahan University of Medical Sciences, Isfahan, IranAssociate Professor, Department of Pathology, School of Medicine AND Acquired Immunodeficiency Research Center, Isfahan University of Medical Sciences, Isfahan, IranBackground: Pancreaticouodenectomy (Whipple surgery) is the chosen treatment in patients with malignant or benign tumors of the pancreatic head. Pancreatic anastomosis is the most important part of Whipple surgery. Pancreatic fistula is the most common postoperative complication. Methods: This prospective study was conducted on patients with pancreatic tumor who went under pancreaticodoudenectomy and pancreaticojujenosotmy during the years 2011-2016 in Isfahancity, Iran. The incidence of postoperative pancreatic fistula was evaluated based on the criteria of International Study Group of Pancreatic Fistula (ISGPF). Data were analyzed using chi-square test via SPSS22 software. P-value < 0.05 considered significant. Findings: 82 patients participated in this survey. The rate of pancreatic fistula was 26 (31.7%) and 14 cases (17%) based on the right and left drainage, respectively. Although, there was meaningful relationship between the pancreatic fistula and pancreatic duct size, age, gender, pancreatic texture, and tumor histology had no effect on its incidence. Conclusion: Based on our analysis, a pancreatic duct less than 3 mm was considered a risk factor regarding the incidence of pancreatic fistula. In addition, the rate of pancreatic fistula was different based on the drainage location.http://jims.mui.ac.ir/index.php/jims/article/view/7204Pancreatic fistulaPancreaticojujenostomyWhipple surgery |
| spellingShingle | Behnam Sanei Mohsen Kolahdouzan Hamid Reza Jafari Mohammad Hossein Sanei Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery مجله دانشکده پزشکی اصفهان Pancreatic fistula Pancreaticojujenostomy Whipple surgery |
| title | Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery |
| title_full | Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery |
| title_fullStr | Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery |
| title_full_unstemmed | Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery |
| title_short | Evaluating the Incidence of Postoperative Pancreatic Fistula after Pancreaticojujenostomy among the Cases of Whipple Surgery |
| title_sort | evaluating the incidence of postoperative pancreatic fistula after pancreaticojujenostomy among the cases of whipple surgery |
| topic | Pancreatic fistula Pancreaticojujenostomy Whipple surgery |
| url | http://jims.mui.ac.ir/index.php/jims/article/view/7204 |
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