Preoperative stenting for benign and malignant periampullary diseases: Unnecessary if not harmful Journal Article

   


Authors: Gholami, S.; Brennan, M. F.
Article Title: Preoperative stenting for benign and malignant periampullary diseases: Unnecessary if not harmful
Abstract: Preoperative biliary drainage (PBD) is often performed in patients with jaundice with the presumption that it will decrease the risk of postoperative complications. PBD carries its own risk of complications and, therefore, has been controversial. Multiple randomized controlled trials and metaanalyses have shown that PBD has significantly increased overall complications compared with surgery alone. As such, the routine application of PBD should be avoided except in a subset of clinical situations. This is discussed in detail in this article. © 2017 Elsevier Inc.
Keywords: survival rate; review; preoperative care; pancreaticoduodenectomy; treatment indication; morbidity; diagnostic imaging; postoperative complication; bilirubin; jaundice; sepsis; stent; surgical mortality; intermethod comparison; preoperative treatment; biliary tract drainage; bilirubin blood level; cost; drainage; stents; endoscopic retrograde cholangiopancreatography; cholangiopancreatography, endoscopic retrograde; vater papilla carcinoma; unnecessary procedures; infectious complication; unnecessary procedure; bile duct tumor; ampulla of vater; common bile duct neoplasms; jaundice, obstructive; complication; procedures; preoperative biliary drainage; common bile duct; obstructive jaundice; small intestine tumor; cholangitis; periampullary cancer; humans; human; priority journal; preoperative stenting
Journal Title: Surgical Clinics of North America
Volume: 98
Issue: 1
ISSN: 0039-6109
Publisher: Elsevier Inc.  
Date Published: 2018-02-01
Start Page: 37
End Page: 47
Language: English
DOI: 10.1016/j.suc.2017.09.005
PUBMED: 29191276
PROVIDER: scopus
PMCID: PMC6643266
DOI/URL:

https://www.scopus.com/inward/record.uri?eid=2-s2.0-85035135732&doi=10.1016%2fj.suc.2017.09.005&partnerID=40&md5=c57ef0e9134d5b83ed829ef5660b5d9d
Notes: Review -- Export Date: 2 January 2018 -- Source: Scopus
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MSK Authors
  1. Murray F Brennan
    1059 Brennan
  2. Sepideh Gholami
    32 Gholami
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