Background/aims: This study hopes to identify risk factors for postoperative pancreatic fistulae in patients undergoing distal pancreatectomy.
Methods: The study group was composed of 39 patients who had undergone distal pancreatectomy between January 2000 and June 2008. Fourteen presumed risk factors were retrospectively reviewed.
Results: Pancreatic fistula developed in 10 patients (25.6%). Pancreatic fibrosis estimated by dynamic contrast-enhanced magnetic resonance imaging (MRI) was the only predictor of pancreatic fistula formation after distal pancreatectomy (p = 0.037).
Conclusions: The preoperative evaluation of pancreatic fibrosis by dynamic MRI can provide reliable and objective information for predicting the risk of postoperative pancreatic fistula after distal pancreatectomy.
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