Nationwide practice and outcomes of endoscopic biliary drainage in resectable pancreatic head and periampullary cancer
- Latenstein, A.E.J.
- Mackay, T.M.
- van Huijgevoort, N.C.M.
- Bonsing, B.A.
- Bosscha, K.
- Hol, L.
- Bruno, M.J.
- van Coolsen, M.M.E.
- Festen, S.
- van Geenen, E.
- Koerkamp, B.G.
- Hemmink, G.J.M.
- de Hingh, I.H.J.T.
- Kazemier, G.
- Lubbinge, H.
- de Meijer, V.E.
- Molenaar, I.Q.
- Quispel, R.
- van Santvoort, H.C.
- Seerden, T.C.J.
- Stommel, M.W.J.
- Venneman, N.G.
- Verdonk, R.C.
- Besselink, M.G.
- van Hooft, J.E.
DOIAbstract
Background: Guidelines advise self-expanding metal stents (SEMS) over plastic stents in preoperative endoscopic biliary drainage (EBD) for malignant extrahepatic biliary obstruction. This study aims to assess nationwide practice and outcomes.Methods: Patients with pancreatic head and periampullary cancer who underwent EBD before pancreatoduodenectomy were included from the Dutch Pancreatic Cancer Audit (2017-2018). Multi variable logistic and linear regression models were performed.Results: In total, 575/1056 patients (62.0%) underwent preoperative EBD: 246 SEMS (42.8%) and 329 plastic stents (57.2%). EBD-related complications were comparable between the groups (44/246 (17.9%) vs. 64/329 (19.5%), p = 0.607), including pancreatitis (22/246 (...