Poor level of agreement on the management of postoperative pancreatic fistula: results of an international survey.
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- doi: 10.1111/j.1477-2574.2012.00599.x
- issn: 1365-182X
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Diseases--Surgery Surgery, PrimitiveCiter ce document
E. Melloul et al., « Poor level of agreement on the management of postoperative pancreatic fistula: results of an international survey. », Serveur académique Lausannois, ID : 10.1111/j.1477-2574.2012.00599.x
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Résumé
The occurrence of postoperative pancreatic fistula (POPF) is the main cause of severe complications, including death, after pancreatic surgery. This study was conduced to evaluate current practice in the management of POPF after Whipple surgery and distal pancreatectomy (DP). An online survey endorsed by the European-African Hepato-Pancreato-Biliary Association (E-AHPBA) was conducted among surgical departments active in pancreatic surgery. A total of 108 centres were contacted by e-mail. The survey focused on the use and timing of drainage, nutrition strategies, provision of somatostatin and antibiotic therapies, imaging strategy and indications for reoperation when POPF is diagnosed after pancreatic surgery. A total of 55 centres (51%) completed the survey. Overall, responses showed poor agreement among centres (Fleiss' kappa: