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Endoscopic Transpapillary Pancreatic Duct Stent Placement for Symptomatic Peripancreatic Fluid Collection Caused by Clinically Relevant Postoperative Pancreatic Fistula After Distal Pancreatectomy

Watanabe, Yusuke MD, PhD*; Ueda, Keijiro MD, PhD; Nakamura, So MD, PhD*; Endo, Sho MD, PhD*; Kozono, Shingo MD, PhD*; Nishihara, Kazuyoshi MD, PhD*; Nakano, Toru MD, PhD*

Surgical Laparoscopy Endoscopy & Percutaneous Techniques: August 2019 - Volume 29 - Issue 4 - p 261–266
doi: 10.1097/SLE.0000000000000694
Original Articles

This study aimed to evaluate the safety and efficacy of endoscopic transpapillary pancreatic duct stent placement (ETPS) for symptomatic peripancreatic fluid collection caused by postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP). ETPS was also compared with percutaneous drainage (PTD). Retrospectively 38 patients were studied who developed clinically relevant POPF. Of 38 patients, 4 underwent PTD and 11 underwent ETPS. Technical and clinical success rates of ETPS (100% and 91%, respectively) were comparable with PTD (100% and 75%, respectively). The tip of a pancreatic stent was placed over the pancreatic stump in 4 patients and draining of pus through the pancreatic stent was observed. The hospital stay after DP and the interval from intervention to discharge were significantly shorter in the ETPS group than in the PTD group. ETPS is safe and successful for managing peripancreatic fluid collection caused by POPF after DP and should be considered as a therapeutic option.

Departments of *Surgery

Gastroenterology, Kitakyushu Municipal Medical Center, Kokurakita-ku, Kitakyushu, Japan

The authors declare no conflicts of interest.

Reprints: Yusuke Watanabe, MD, PhD, Department of Surgery, Kitakyushu Municipal Medical Center, 2-1-1 Bashaku, Kokurakita-ku, Kitakyushu 802-0077, Japan (e-mail:

Received February 23, 2019

Accepted May 13, 2019

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