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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Feb 14, 2015; 21(6): 1872-1879
Published online Feb 14, 2015. doi: 10.3748/wjg.v21.i6.1872
Published online Feb 14, 2015. doi: 10.3748/wjg.v21.i6.1872
Application of air insufflation to prevent clinical pancreatic fistula after pancreaticoduodenectomy
Hui Yang, Xiao-Fei Lu, Yun-Fei Xu, Hong-Da Liu, Sen Guo, Yi Liu, Yu-Xin Chen, Department of Hepatobiliary Surgery, Qilu Hospital, Shandong University, Jinan 250012, Shandong Province, China
Xiao-Fei Lu, Department of General Surgery, Jinan Central Hospital, Shandong University, Jinan 250013, Shandong Province, China
Author contributions: Yang H and Lu XF contributed equally to this article; Chen YX designed research; Chen YX, Yang H, Lu XF, Guo S and Liu Y performed research; Xu YF and Liu HD contributed analytic tools; Yang H and Lu XF analyzed data; and Yang H wrote the paper.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Yu-Xin Chen, Professor, Department of Hepatobiliary Surgery, Qilu Hospital, Shandong University, No. 44 WenhuaXi Road, Jinan 250012, Shandong Province, China. yxs20081020@gmail.com
Telephone: +86-531-82166651 Fax: +86-531-82169243
Received: May 22, 2014
Peer-review started: May 23, 2014
First decision: June 27, 2014
Revised: July 28, 2014
Accepted: September 12, 2014
Article in press: September 16, 2014
Published online: February 14, 2015
Peer-review started: May 23, 2014
First decision: June 27, 2014
Revised: July 28, 2014
Accepted: September 12, 2014
Article in press: September 16, 2014
Published online: February 14, 2015
Core Tip
Core tip: The present study introduces the application of the air insufflation test for the prevention of pancreatic fistula (PF) and investigates its effectiveness. This clinical study confirms that the air insufflation test can significantly reduce the occurrence of clinical PF. In addition, estimated blood loss, pancreatic duct diameter ≤ 3 mm and not performing an air insufflation test are independent risk factors for clinical PF.