Requirement of Biliary Decompression Prior to Pancreatoduodenectomy for Distal Malignant Biliary Obstruction

Authors

  • Bidhan C Das Professor, Department of Hepatobiliary Pancreatic and Liver Transplant Surgery, BSMMU, Dhaka, Bangladesh
  • Anindita Datta Assistant Professor, Department of Radiology and Imaging, BSMMU, Dhaka, Bangladesh
  • Krisna Rani Majumder Associate professor, Surgical Oncology, Department of Surgery, BSMMU, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jss.v24i2.52317

Keywords:

liver functions, infections, hepatologist

Abstract

The role of biliary decompression prior to definitive surgery in patient with distal malignant obstruction remains controversial.Many authors put their views in favor; because of improvement of liver functions and reticulo-endothelial function after decompression resulting in uneventful postoperative outcome and many others are against because of increase the risk of postoperative morbidity and mortality. We found the patients who underwent prior biliary decompression had unusual development of organisms in their bile which are found frequently resistant to usual antibiotics and most of them developed postoperative complications. Several other studies concluded in between that preoperative drainage should be performed in selected patients; delaying of surgery for any cause, presence of severe cholangitis, severe jaundice and poor nutrition and where hepatic resection is required along with pancreatoduodenectomy. We therefore concluded that biliary decompression should not routinely be performed except in special situations in patients with distal malignant biliary obstructionbefore pancreatoduodenectomy.

Journal of Surgical Sciences (2020) Vol. 24 (2) : 66-69

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Published

2021-02-01

How to Cite

Das, B. C., Datta, A., & Majumder, K. R. (2021). Requirement of Biliary Decompression Prior to Pancreatoduodenectomy for Distal Malignant Biliary Obstruction. Journal of Surgical Sciences, 24(2), 66–69. https://doi.org/10.3329/jss.v24i2.52317

Issue

Section

Review Articles