A Matched Case-Control Study of Preoperative Biliary Drainage in Patients with Pancreatic Adenocarcinoma: Routine Drainage Is Not Justified

@article{Mezhir2009AMC,
  title={A Matched Case-Control Study of Preoperative Biliary Drainage in Patients with Pancreatic Adenocarcinoma: Routine Drainage Is Not Justified},
  author={James John Mezhir and Murray F. Brennan and Raymond E. Baser and Michael I. D’Angelica and Yuman Fong and Ronald P. DeMatteo and William R. Jarnagin and Peter J. Allen},
  journal={Journal of Gastrointestinal Surgery},
  year={2009},
  volume={13},
  pages={2163-2169}
}
Preoperative biliary drainage (PBD) prior to pancreaticoduodenectomy (PD) continues to be routine in many centers despite retrospective and randomized data showing that PBD increases perioperative infectious complications. Review of a prospectively maintained database identified 340 consecutive patients with pancreatic adenocarcinoma who underwent PD between 2000 and 2005. From this cohort, 94 PBD and 94 nonstented (no-PBD) patients were matched for age, gender, preoperative albumin, and… CONTINUE READING
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