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. 2013 Apr 30;2013(4):CD008370. doi: 10.1002/14651858.CD008370.pub3

Matheus 2009.

Methods Randomised clinical trial
Participants Country: Brazil 
 Sample size: 35 
 Post‐randomisation drop‐out: not stated 
 Revised sample size: 35 
 Females: not stated 
 Mean age: not stated 
 Malignancy: not stated 
 Chronic pancreatitis: 0 (0%) 
 Pancreatoduodenectomy: 35 (100%) 
 Inclusion criteria: 
 1. People undergoing pancreaticoduodenectomy 
 2. Abdominal drain fluid containing amylase > 1000 IU/dL on the first postoperative day
Interventions The participants were randomised to 2 groups 
 Group 1: somatostatin analogue (n = not stated) 
 Further details: octreotide 100 μg sc 3 times daily for 10 days 
 Group 2: control (n = not stated)
Outcomes The outcomes reported were proportion of participants with pancreatic fistula and hospital stay
Notes Pancreatic fistula definition: drain output of any measure volume of fluid on or after postoperative day 3 with amylase content greater than 3 times the serum amylase (grade A)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: this information was not available
Allocation concealment (selection bias) Unclear risk Comment: this information was not available
Blinding (performance bias and detection bias) 
 All outcomes High risk Comment: blinding was probably not performed
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Comment: this information was not available
Selective reporting (reporting bias) High risk Comment: some important outcomes such as clinically significant pancreatic fistulae were not reported
Free of source of funding bias? Unclear risk Comment: this information was not available