Stent A pancreaticojejunostomy after pancreatoduodenectomy: Is it always necessary?

doi:10.5662/wjm.v14.i3.90164

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World Journal of Methodology

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World J Methodol. Sep 20, 2024; 14(3): 90164
Published online Sep 20, 2024. doi: 10.5662/wjm.v14.i3.90164

Stent A pancreaticojejunostomy after pancreatoduodenectomy: Is it always necessary?

Dimitrios Symeonidis, Dimitris Zacharoulis, Georgios Tzovaras, Labrini Kissa, Athina A Samara, Eleana Petsa, Konstantinos Tepetes

Dimitrios Symeonidis, Dimitris Zacharoulis, Georgios Tzovaras, Labrini Kissa, Athina A Samara, Eleana Petsa, Department of Surgery, University Hospital of Larissa, Larissa 41110, Greece

Konstantinos Tepetes, Department of General Surgery, University Hospital of Larissa, Larissa 41110, Greece

Author contributions: Symeonidis D, Zacharoulis D, and Samara AA contributed to study conception and design; Kissa L and Petsa E contributed to acquisition of data; Tzovaras G and Samara AA contributed to analysis and interpretation of data; Symeonidis D, Zacharoulis D, and Samara AA contributed to drafting of manuscript; Tzovaras G, Kissa L, Petsa E, and Tepetes K contributed to critical revision; All authors have approved the final version of the present manuscript.

Conflict-of-interest statement: All authors declare that there are no competing interests.

Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/

Corresponding author: Athina A Samara, MD, MSc, Surgeon, Department of Surgery, University Hospital of Larissa, Mezourlo Hill, Larissa 41110, Greece. at.samara93@gmail.com

Received: November 25, 2023
Revised: February 19, 2024
Accepted: April 7, 2024
Published online: September 20, 2024
Processing time: 212 Days and 22.3 Hours

Core Tip

Core Tip: A postoperative pancreatic fistula (POPF) is considered the most common and the most serious complication associated with pancreaticoduodenectomy. Reserving stent placement for the high-risk for POPF patients and individualizing the selection between the use of an internal or an external stent according to the distinct characteristics of each individual case scenario appears appropriate.