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Propensity score-matched analysis of internal stent vs external stent for pancreatojejunostomy during pancreaticoduodenectomy: Japanese-Korean cooperative project

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dc.contributor.author박준성-
dc.contributor.author윤동섭-
dc.contributor.author김상우-
dc.date.accessioned2021-09-29T02:32:17Z-
dc.date.available2021-09-29T02:32:17Z-
dc.date.issued2020-07-
dc.identifier.issn1424-3903-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/184970-
dc.description.abstractBackground: Several studies comparing internal and external stents have been conducted with the aim of reducing pancreatic fistula after PD. There is still no consensus, however, on the appropriate use of pancreatic stents for prevention of pancreatic fistula. This multicenter large cohort study aims to evaluate whether internal or external pancreatic stents are more effective in reduction of clinically relevant pancreatic fistula after pancreaticoduodenectomy (PD). Methods: We reviewed 3149 patients (internal stent n = 1,311, external stent n = 1838) who underwent PD at 20 institutions in Japan and Korea between 2007 and 2013. Propensity score matched analysis was used to minimize bias from nonrandomized treatment assignment. The primary endpoint was the incidence of clinically relevant pancreatic fistula. This study was registered on the UMIN Clinical Trials Registry (UMIN000032402). Results: After propensity score matched analysis, clinically relevant pancreatic fistula occurred in more patients in the external stents group (280 patients, 28.7%) than in patients in the internal stents group (126 patients, 12.9%) (OR 2.713 [95% CI, 2.139-3.455]; P < 0.001). In subset analysis of a high-risk group with soft pancreas and no dilatation of the pancreatic duct, clinically relevant pancreatic fistula occurred in 90 patients (18.8%) in internal stents group and 183 patients (35.4%) in external stents group. External stents were significantly associated with increased risk for clinically relevant pancreatic fistula (OR 2.366 [95% CI, 1.753-3.209]; P < 0.001). Conclusion: Propensity score matched analysis showed that, regarding clinically relevant pancreatic fistula after PD, internal stents are safer than external stents for pancreaticojejunostomy.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier India-
dc.relation.isPartOfPANCREATOLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePropensity score-matched analysis of internal stent vs external stent for pancreatojejunostomy during pancreaticoduodenectomy: Japanese-Korean cooperative project-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorManabu Kawai-
dc.contributor.googleauthorHiroki Yamaue-
dc.contributor.googleauthorJin-Young Jang-
dc.contributor.googleauthorKatsuhiko Uesaka-
dc.contributor.googleauthorMichiaki Unno-
dc.contributor.googleauthorMasafumi Nakamura-
dc.contributor.googleauthorTsutomu Fujii-
dc.contributor.googleauthorSohei Satoi-
dc.contributor.googleauthorSeong Ho Choi-
dc.contributor.googleauthorMasayuki Sho-
dc.contributor.googleauthorTakumi Fukumoto-
dc.contributor.googleauthorSong Cheol Kim-
dc.contributor.googleauthorTae Ho Hong-
dc.contributor.googleauthorWataru Izumo-
dc.contributor.googleauthorDong Sup Yoon-
dc.contributor.googleauthorRyosuke Amano-
dc.contributor.googleauthorSang-Jae Park-
dc.contributor.googleauthorSae Byeol Choi-
dc.contributor.googleauthorHee Chul Yu-
dc.contributor.googleauthorJoo Seop Kim-
dc.contributor.googleauthorYoung Joon Ahn-
dc.contributor.googleauthorHongbeom Kim-
dc.contributor.googleauthorRyo Ashida-
dc.contributor.googleauthorSeiko Hirono-
dc.contributor.googleauthorJin Seok Heo-
dc.contributor.googleauthorKi Byung Song-
dc.contributor.googleauthorJoon Seong Park-
dc.contributor.googleauthorMasakazu Yamamoto-
dc.contributor.googleauthorToshio Shimokawa-
dc.contributor.googleauthorSun-Whe Kim-
dc.identifier.doi10.1016/j.pan.2020.06.014-
dc.contributor.localIdA01672-
dc.contributor.localIdA02548-
dc.contributor.localIdA00524-
dc.relation.journalcodeJ02464-
dc.identifier.eissn1424-3911-
dc.identifier.pmid32680728-
dc.identifier.urlhttps://www.sciencedirect.com/science/article/pii/S142439032030212X-
dc.subject.keywordExternal stent-
dc.subject.keywordInternal stent-
dc.subject.keywordPancreatic fistula-
dc.subject.keywordPancreaticoduodenectomy-
dc.contributor.alternativeNamePark, Joon Seong-
dc.contributor.affiliatedAuthor박준성-
dc.contributor.affiliatedAuthor윤동섭-
dc.contributor.affiliatedAuthor김상우-
dc.citation.volume20-
dc.citation.number5-
dc.citation.startPage984-
dc.citation.endPage991-
dc.identifier.bibliographicCitationPANCREATOLOGY, Vol.20(5) : 984-991, 2020-07-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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