Predicting Successful Catheter Drainage in Patients With Pancreatic Fistula After Pancreatoduodenectomy

The objective of this study was to identify predictors for successful minimally invasive catheter drainage (ie, survival without relaparotomy) for pancreatic fistula after pancreatoduodenectomy. Methods Included were consecutive patients undergoing catheter drainage as first intervention for pancreatic fistula after pancreatoduodenectomy (2005–2013) in 9 Dutch centers. Possible prognostic factors for successful catheter drainage (ie, survival without relaparotomy) were selected using Akaike information criterion. Results Included were 227 patients after 2196 pancreatoduodenectomies. Primary catheter drainage was successful in 175 (77%) of 227 patients. Multivariable logistic regression revealed the following negative prognostic factors for success: male sex (odds ratio [OR], 0.46; 95% confidence interval [CI], 0.21–1.00; P = 0.049), higher age (for every 5 years over 50; OR, 0.69; 95% CI, 0.57–0.84; P
Source: Pancreas - Category: Gastroenterology Tags: Original Articles Source Type: research