Efficacy of octreotide in the prevention of complications of elective pancreatic surgery

P. Pederzoli, C. Bassi, M. Falconi, M. G. Camboni

Research output: Contribution to journalArticle

Abstract

A placebo-controlled double-blind multicentre study, with randomization into parallel groups, was performed to determine whether perioperative subcutaneous administration of octreotide 0.1 mg every 8 h reduces the rate of complications specifically related to pancreatic surgery. In all, 252 patients were evaluated (153 men, 99 women; mean(s.e.m.) age 53.1(0.8) years) who had pancreatic or periampullary tumour or other duodenal disease (157 patients) or chronic pancreatitis (95) and were undergoing elective pancreatic resection (100 Whipple's procedure, 60 distal resection, 12 others), pancreaticojejunostomy (66) or enucleation of pancreatic lesions (14). The proportion of patients with complications was significantly lower in the group treated with octreotide than in the placebo group (15.6 versus 29.2 per cent, P=0.01). Octreotide thus appears to reduce substantially the risk of complications related to elective pancreatic surgery. Moreover, treatment acceptability was high.

Original languageEnglish
Pages (from-to)265-269
Number of pages5
JournalBritish Journal of Surgery
Volume81
Issue number2
Publication statusPublished - 1994

ASJC Scopus subject areas

  • Surgery

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