ArticleHPB : the official journal of the International Hepato Pancreato Biliary Association2013
Poor level of agreement on the management of postoperative pancreatic fistula: results of an international survey.
Article in HPB : the official journal of the International Hepato Pancreato Biliary Association, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 4 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Routine abdominal drainage after distal pancreatectomy: meta-analysis.The British journal of surgery · 2022Pooled it
- Completion pancreatectomy or a pancreas-preserving procedure during relaparotomy for pancreatic fistula after pancreatoduodenectomy: a multicentre cohort study and meta-analysis.The British journal of surgery · 2021Pooled it
- Pooled it
- Pancreas-preserving management in reinterventions for severe pancreatic fistula after pancreatoduodenectomy: a systematic review.Langenbeck's archives of surgery · 2016Pooled it
- Effect of early administration of coagulation factor XIII on fistula after pancreatic surgery: the FIPS randomized controlled trial.Langenbeck's archives of surgery · 2018Trial
- Early Versus Late Oral Refeeding After Pancreaticoduodenectomy for Malignancy: a Comparative Belgian-French Study in Two Tertiary Centers.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020Article
- Outpatient Drainmanagement of patients with clinically relevant Postoperative Pancreatic Fistula (POPF).Langenbeck's archives of surgery · 2017Observational
- The natural course of pancreatic fistula and fluid collection after distal pancreatectomy: is drain insertion needed?Annals of surgical treatment and research · 2016Article
- Is total pancreatectomy as feasible, safe, efficacious, and cost-effective as pancreaticoduodenectomy? A single center, prospective, observational study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2016Observational
- Pancreatic fistula and postoperative pancreatitis after pancreatoduodenectomy for pancreatic cancer.Hepatobiliary surgery and nutrition · 2014Review
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Authors and funding
5 authors at 1 institution in 1 country.
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Abstract
objectivesThe occurrence of postoperative pancreatic fistula (POPF) is the main cause of severe complications, including death, after pancreatic surgery. This study was conduced to evaluate current practice in the management of POPF after Whipple surgery and distal pancreatectomy (DP).
methodsAn online survey endorsed by the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) was conducted among surgical departments active in pancreatic surgery. A total of 108 centres were contacted by e-mail. The survey focused on the use and timing of drainage, nutrition strategies, provision of somatostatin and antibiotic therapies, imaging strategy and indications for reoperation when POPF is diagnosed after pancreatic surgery.
resultsA total of 55 centres (51%) completed the survey. Overall, responses showed poor agreement among centres (Fleiss' kappa: <0.40) on 89% of items after Whipple surgery and 78% of items after DP. There was very poor or no agreement (Fleiss' kappa: <0.1) on postoperative strategies for the management of nutrition and use of somatostatin after both procedures. In the event of POPF, 42% of centres used total oral nutrition and 22% used somatostatin after Whipple surgery, and 71% used total oral nutrition and 31% used somatostatin after DP. There were significant disagreements between units conducting, respectively, more and fewer than 50 Whipple procedures per year on drain removal after DP, and imaging strategy and patient discharge after Whipple surgery and DP.
conclusionsThis survey discloses important disagreements worldwide regarding the management of POPF after both Whipple surgery and DP. The standardized management of POPF would better facilitate the comparison of outcomes in future trials.
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