Table 2.
Effects of non-surgical interventions on POPF following pancreatectomy
| Author | Type of study | No. of patients | Type of intervention | Results |
|---|---|---|---|---|
| Bassi et al. (2010) [54] | Prospective Randomized Trial | 114 • 57 • 57 |
Early (POD 3) vs. late (POD 5 and beyond) removal of drain | • Lower incidence of POPF in early drain removal (1.8 %) vs. late drain removal groups (26.3 %, p = 0.0001, OR = 20) • Significant association between POPF and timing of drain removal (p < 0.001) • Decreased rate of abdominal complications (p = 0.002) and pulmonary complications (p = 0.007) • Decreased median hospital stay (p = 0.018) and hospital costs (p = 0.02) in early drain removal group |
| Yokoyama et al. (2014) [109] | Study design similar to a Randomized controlled study | 60 • 30 • 30 (46 included in final analysis) |
Enteral replacement of externally drained pancreatic juice (R group) vs. non-replacement of pancreatic juice (NR group) after pancreatoduodenectomy | • Significantly higher amylase secretion on POD 7 in the non-replacement group (p = 0.044). • Higher incidence of > grade B POPF in the NR vs. R groups (33.1 vs. 9.1 %, p = 0.046) |
| Allen et al. (2014) [12] | Randomized double blind trial | 300 • 152 • 148 |
Perioperative subcutaneous pasireotide vs. placebo | • Significantly lower incidence of grade 3 or higher POPF, pancreatic leak or abscess in patients who received pasireotide (p = 0.006) |
| Fernandez-Cruz et al. (2013) [60] | Prospective randomized trial | 62 • 32 • 30 |
Subcutaneous octreotide vs. placebo | No significant difference between the two groups in median pancreatic juice output (p = 0.538) |
| Yeo et al. (2000) [61] | Prospective randomized placebo-controlled trial | 211 • 104 • 107 |
Prophylactic octreotide vs. saline control | No significant difference between the two groups in POPF rates (11 % in octreotide group, 9 % in control group, p > 0.05) |