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September 2, 2026Anticancer Research

Endoscopic Drainage Strategies for Postoperative Pancreatic Fistula Following Distal Pancreatectomy

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Authors

KKKOICHI KIMURAMatsuyama Red Cross HospitalRMRyosuke MinagawaMatsuyama Red Cross HospitalYTYuriko TsutsuiKyushu University

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Overview

Cohort study reveals transgastric drainage shortens hospital stays in pancreatic fistula cases after distal pancreatectomy, indicating its utility for postoperative care.

Key Points

  • To evaluate the efficacy and clinical outcomes of different endoscopic drainage strategies for treating postoperative pancreatic fistulas following distal pancreatectomy.
  • Retrospective cohort analysis of N=122 patients who underwent open, laparoscopic, or robot-assisted distal pancreatectomy between April 2016 and February 2025.
  • Pancreatic fistulas were classified according to the International Study Group for Pancreatic Surgery guidelines.
  • Patients requiring intervention for grade B/C fistulas received transpapillary drainage, transgastric drainage, or combined drainage techniques.
  • Grade B/C postoperative pancreatic fistulas developed in 23.8% of patients (29/122), with intra-abdominal infections occurring in 21.3% (26/122).
  • Among intervened patients, post-treatment hospital stay was 12.9±6.4 days for transgastric drainage, 18.3±2.7 days for transpapillary drainage, and 49.2±5.3 days for combined drainage.
  • Transgastric drainage significantly reduced post-treatment hospital length of stay (p=0.0350), whereas prolonged drain tube management significantly extended hospital stays (p<0.0001).

Cite This Study

KIMURA et al. (2026) studied this question.

synapsesocial.com/papers/6a97e2f6c562ede874ec7667https://doi.org/10.21873/anticanres.18368
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Drainage and irrigation on demand decreases severe septic complications and mortality in pancreatic resections2024
  2. 2A Review of Post-Operative Pancreatic Fistula Following Distal Pancreatectomy: Risk Factors, Consequences, and Mitigation Strategies2025 · 8 citations
  3. 3Intractable Postoperative Pancreatic Fistula: Undefined Type of Pancreatic Fistula Managed by Puestow-Like Procedure2024 · 1 citations
  4. 4Management of Postoperative Pancreatic Fistulas After Pancreaticoduodenectomy Using Open Drainage and Negative Pressure Wound Therapy With Instillation and Dwell Times2024
  5. 5Percutaneous Transhepatic Biliary Drainage in High-Risk Postoperative Pancreatic Fistula after Pancreaticoduodenectomy2026 · 1 citations