Complications of pancreaticoduodenectomy after neoadjuvant chemoradiation in patients with and without preoperative biliary drainage

Henning Gerke, R. White, M. F. Byrne, H. Stiffler, R. M. Mitchell, H. I. Hurwitz, M. A. Morse, M. S. Branch, P. S. Jowell, B. Czito, B. Clary, T. N. Pappas, D. S. Tyler, J. Baillie

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Background. It has been suggested that preoperative biliary drainage increases the risk of infectious complications of pancreaticoduodenectomy. Aims. The aim of this study was to assess complications related to biliary stents/drains and postoperative morbidity in patients undergoing neoadjuvant chemoradiotherapy for periampullary cancer. Patients. One hundred and eighty-four patients with periampullary neoplasms were prospectively selected for neoadjuvant external beam radiation therapy and 5-fluorouracil-based chemotherapy between 1995 and 2002. Methods. The data were retrospectively completed and analysed with respect to biliary drainage, efficacy and complications of endoscopic biliary stents and postoperative morbidity. Patients who had undergone a surgical biliary bypass were excluded. Results. Data were completed in 168 patients. One hundred and nineteen patients were treated with endoscopic biliary stents, 18 patients had a percutaneous biliary drain and 31 patients did not require biliary drainage. Hospitalisation for stent-related complications was necessary in 15% of the patients with endoscopic biliary stents. Seventy-two patients underwent pancreaticoduodenectomy. There was no significant difference in the rate of wound infections, intra-abdominal abscesses and overall complications between the groups with and without preoperative biliary drainage. Conclusions. Postoperative infectious complications are common in patients both with and without preoperative biliary drainage. A statistically significant difference in complication rates was not observed between these groups.

Original languageEnglish (US)
Pages (from-to)412-418
Number of pages7
JournalDigestive and Liver Disease
Issue number6
StatePublished - Jun 2004
Externally publishedYes


  • Cholangiopancreatography
  • Endoscopic retrograde
  • Jaundice
  • Neoadjuvant therapy
  • Pancreatic neoplasms
  • Pancreaticoduodenectomy

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology


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