Evidence map›Paper›PMID 41852561›Full record

ArticleSurgery in practice and science2026

The impact of body mass index on predicting postoperative pancreatic fistula in relation to pancreatic texture and main pancreatic duct diameter after pancreaticoduodenectomy.

Oleksandr Kvasivka, Ruslan Pareniuk, Andrii Moiseienko, Illia Pepenin, Kostiantyn Kopchak

Abstract read
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Article in Surgery in practice and science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Oleksandr KvasivkaDepartment of Thoraco-Abdominal Oncology, National Cancer Institute, 33/43 Yulii Zdanovskoi Street, Kyiv 03022, Ukraine.
Ruslan PareniukDepartment of Thoraco-Abdominal Oncology, National Cancer Institute, 33/43 Yulii Zdanovskoi Street, Kyiv 03022, Ukraine.
Andrii MoiseienkoDepartment of Thoraco-Abdominal Oncology, National Cancer Institute, 33/43 Yulii Zdanovskoi Street, Kyiv 03022, Ukraine.
Illia PepeninDepartment of Thoraco-Abdominal Oncology, National Cancer Institute, 33/43 Yulii Zdanovskoi Street, Kyiv 03022, Ukraine.
Kostiantyn KopchakDepartment of Thoraco-Abdominal Oncology, National Cancer Institute, 33/43 Yulii Zdanovskoi Street, Kyiv 03022, Ukraine.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pancreaticoduodenectomy (PD) remains the primary radical treatment for malignant periampullary tumors. Clinically relevant postoperative pancreatic fistula (POPF) develops in 15-20% of patients. Body mass index (BMI) may influence the risk of this complication. The aim of our study was to assess the impact of BMI, pancreatic texture, and main pancreatic duct diameter on the risk of POPF after PD. Methods: A retrospective cohort study included 106 patients who underwent PD for malignant periampullary tumors between 2018 and 2024, performed by a single surgical team at a major center in Ukraine. Patients were grouped according to a classification proposed by the International Study Group for Pancreatic Surgery (ISGPS) based on pancreatic texture and duct diameter: Group A: not-soft texture, duct > 3 mm. Group B: not-soft texture, duct ≤ 3 mm. Group C: soft texture, duct > 3 mm. Group D: soft texture, duct ≤ 3 mm. Results: Group A included 63 patients, Group B 9, Group C 8, and Group D 26. No significant association between BMI and POPF was found in Groups A, B, and C. However, in Group D, patients with BMI ≥ 25 had a significantly higher rate of POPF compared to those with BMI < 25. Conclusion: Increased BMI was significantly associated with a higher risk of POPF only in patients with a soft pancreatic texture and a main pancreatic duct diameter ≤ 3 mm.

Indexed as

BMIPancreaticoduodenectomyPancreatic resectionPostoperative complicationsPostoperative pancreatic fistula

Identifiers

PMID41852561
PMCPMC12992984

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