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Updated: May 29, 2026

Application of Simplified Stent-bridging Pancreaticogastrostomy in Open Pancreaticoduodenectomy
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Does external pancreatic duct stent decrease pancreatic fistula rate after pancreatic resection?: a meta-analysis.

Yanming Zhou1, Chunlian Yang, Shuangjia Wang

  • 1Department of Hepato-Biliary-Pancreato-Vascular Surgery, First Affiliated Hospital of Xiamen University, China.

Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [Et Al.]
|August 31, 2011
PubMed
Summary
This summary is machine-generated.

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External pancreatic duct stents significantly reduce complications like pancreatic fistula and delayed gastric emptying after pancreatic anastomosis. This meta-analysis confirms their benefit in improving patient outcomes and shortening hospital stays.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Evidence-Based Medicine

Background:

  • Pancreatic anastomosis is a critical step in pancreatic resection.
  • Fistula formation remains a significant complication.
  • The role of external pancreatic duct stents is debated.

Purpose of the Study:

  • To evaluate the efficacy of external pancreatic duct stents in preventing pancreatic fistula.
  • To analyze the impact of stenting on postoperative morbidity and outcomes.

Main Methods:

  • Meta-analysis of published articles up to March 2011.
  • Inclusion of randomized controlled trials and observational studies.
  • Statistical analysis using fixed or random effects models for pooled odds ratios and weighted mean differences.

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Last Updated: May 29, 2026

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Main Results:

  • External pancreatic duct stenting significantly reduced overall postoperative morbidity (OR 0.56).
  • Stenting decreased pancreatic fistula rates (OR 0.34) and severity (OR 0.70).
  • Reduced delayed gastric emptying (OR 0.44) and hospital stay (WMD -3.95 days) were observed.

Conclusions:

  • External pancreatic duct stents are effective in reducing pancreatic fistula leakage after pancreatic resection.
  • Stenting improves outcomes and reduces complications associated with pancreatic anastomosis.
  • Evidence supports the use of stents to minimize postoperative morbidity.