Influence of preoperative cholangitis after biliary drainage on postoperative pancreatic fistula in patients who undergo pancreaticoduodenectomy

Abstract

Obstructive jaundice is the most common symptom in patients with periampullary diseases. Preoperative biliary drainage (PBD) has been conventionally performed for relieving biliary obstruction, prior to pancreaticoduodenectomy (PD). It has been reported that the patients who underwent PBD, had positive bile culture at the time of PD, resulting in postoperative infectious complications. In this report, we review the PBD prior to PD, and correlations between preoperative biliary infections and postoperative pancreatic fistula.