[Postoperative pancreatitis after pancreatoduodenectomy]

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D S Gorin1, A G Kriger1, G V Galkin1

  • 1Vishnevsky National Medical Research Center of Surgery, Moscow, Russia.

Khirurgiia
|February 11, 2022
PubMed

Insights

Postoperative pancreatitis significantly increases the risk of developing severe pancreatic fistula after pancreatoduodenectomy. Early detection and management of pancreatitis are crucial for preventing fistula complications.

Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Oncology
  • Clinical Research

Background:

  • Pancreatic fistula is a major complication following pancreatoduodenectomy.
  • Postoperative pancreatitis is a potential risk factor for pancreatic fistula development.

Purpose of the Study:

  • To retrospectively assess the influence of early postoperative pancreatitis on the incidence of pancreatic fistula.
  • To quantify the risk associated with postoperative pancreatitis in pancreatoduodenectomy patients.

Main Methods:

  • Retrospective analysis of 173 patients undergoing pancreatoduodenectomy (2016-2019).
  • Postoperative pancreatitis defined by amylase > 125 U/L within 24 hours.
  • Pancreatic fistula classified using ISGPS 2016 criteria.
  • Statistical analysis included relative risk and odds ratio calculation.

Main Results:

  • Postoperative pancreatitis occurred in 20.8% of patients (n=36).
  • Patients with postoperative pancreatitis had a 50% rate of pancreatic fistula.
  • The incidence of pancreatic fistula in patients without pancreatitis was 13.1%.
  • Relative risk was 3.8 (95% CI 2.22-6.51) and odds ratio was 6.6 (95% CI 2.91-15.01).

Conclusions:

  • Early postoperative pancreatitis is a significant risk factor for severe pancreatic fistula.
  • Proactive monitoring and management of pancreatitis post-pancreatoduodenectomy are essential.
Abstract

Keywords:
pancreatic fistulapancreatoduodenectomypostoperative pancreatitis

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