Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula

Prophylactic Pancreatic Stent for the Prevention of Post Operative Pancreatic Fistula Before Segmental Pancreatectomy

Postoperative pancreatic fistula (POPF) remains one of the most harmful complications after pancreatic resection. Some studies have indicated that endoscopic pancreatic stenting was effective in the treatment of POPF. However, the results of prospective RCTs for the prophylactic effect of pancreatic stent insertion against POPF were controversial. This single center prospective randomized trial was designed to compare the outcome after segmental pancreatectomy with prophylactic drainage stent versus no stent.

Inclusion Criteria:

• All patients scheduled for elective segmental pancreatectomy

Exclusion Criteria:

• Subjects for whom ERCP procedures are contraindicated
• If female, pregnant based on a positive hCG serum or an in vitro diagnostic test result or breast-feeding
• Age less than 18 year
• Emergency surgery
• Previous pancreatic surgery