Preoperative Stenting for Benign and Malignant Periampullary Diseases: Unnecessary if Not Harmful

Sepideh Gholami, Murray F. Brennan

Research output: Contribution to journalReview articlepeer-review

6 Scopus citations

Abstract

Preoperative biliary drainage (PBD) is often performed in patients with jaundice with the presumption that it will decrease the risk of postoperative complications. PBD carries its own risk of complications and, therefore, has been controversial. Multiple randomized controlled trials and metaanalyses have shown that PBD has significantly increased overall complications compared with surgery alone. As such, the routine application of PBD should be avoided except in a subset of clinical situations. This is discussed in detail in this article.

Original languageEnglish (US)
Pages (from-to)37-47
Number of pages11
JournalSurgical Clinics of North America
Volume98
Issue number1
DOIs
StatePublished - Feb 1 2018
Externally publishedYes

Keywords

  • Obstructive jaundice
  • Periampullary cancer
  • Preoperative biliary drainage
  • Preoperative stenting

ASJC Scopus subject areas

  • Surgery

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