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Escherichia coli bacterobilia is associated with severe postoperative pancreatic fistula after pancreaticoduodenectomy

The benefit of preoperative biliary stenting in the treatment of pancreatic ductal adenocarcinoma is controversially debated. Data from recent meta-analyses favor primary surgery for the majority of resectable pancreatic cancers. Regardless of this evidence, preoperative biliary stenting via endosco...

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Main Authors: Heckler, Max (Author) , Mihaljevic, André Leopold (Author) , Winter, Dominik (Author) , Zhou, Zhao-Ming (Author) , Liu, Bing (Author) , Tanaka, Masayuki (Author) , Heger, Ulrike (Author) , Michalski, Christoph (Author) , Büchler, Markus W. (Author) , Hackert, Thilo (Author)
Format: Article (Journal)
Language:English
Published: 2020
In: Journal of gastrointestinal surgery
Year: 2020, Volume: 24, Issue: 8, Pages: 1802-1808
ISSN:1873-4626
DOI:10.1007/s11605-019-04325-7
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s11605-019-04325-7
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Author Notes:Max Heckler, André L. Mihaljevic, Dominik Winter, Zhaoming Zhou, Bing Liu, Masayuki Tanaka, Ulrike Heger, Christoph W. Michalski, Markus W. Büchler, Thilo Hackert
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Summary:The benefit of preoperative biliary stenting in the treatment of pancreatic ductal adenocarcinoma is controversially debated. Data from recent meta-analyses favor primary surgery for the majority of resectable pancreatic cancers. Regardless of this evidence, preoperative biliary stenting via endoscopy (EBS) is commonly performed, often before involvement of a surgeon. The goal of this study was to elucidate the association of bile duct stenting, microbiological dislocation of gut flora to the biliary compartment, and major postoperative complications.
Item Description:Published online: 19 July 2019
Gesehen am 06.10.2020
Physical Description:Online Resource
ISSN:1873-4626
DOI:10.1007/s11605-019-04325-7

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