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. 2015 Oct 13;77(5):409–425. doi: 10.1007/s12262-015-1366-9

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)