January 15th, 2010

Plastic Preop Biliary Stents Are Not Problem Free

By Kelley Luckstein

In patients undergoing surgery for cancer of the pancreatic head, routine preoperative biliary drainage using a plastic stent increased the rate of serious complications, a multicenter, randomized trial showed. Within about four months, nearly three-quarters (74%) of those in the drainage group had had a serious complication compared with 39% of those who went directly into surgery (P<0.001), according to Dirk Gouma, MD, PhD, of the Academic Medical Center in Amsterdam, and colleagues.…

 

In an accompanying editorial, Todd Baron, MD, of the Mayo Clinic in Rochester, Minn., and Richard Kozarek, MD, of Virginia Mason Medical Center in Seattle, questioned the initial failure rates for achieving biliary drainage. They "seem excessive to us," the editorialists wrote, "though the rates probably represent those seen in usual clinical practice."

 

MedPage Today, by Todd Neale, 1/13/10

Tags: biliary stents, Uncategorized

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