What do systematic reviews say?

Stents vs no stents

Stents showed no clear difference in pancreatic fistulas compared with no stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.67 [0.39, 1.14]
  4 studies · 605 participants
  Low

Stents vs no stents

Stents showed no clear difference in in‐hospital mortality compared with no stents (moderate certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.73 [0.28, 1.94]
  4 studies · 605 participants
  Moderate

Stents vs no stents

Stents showed no clear difference in reoperation compared with no stents (moderate certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.67 [0.36, 1.22]
  3 studies · 512 participants
  Moderate

Stents vs no stents

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  no estimate extracted
  4 studies · 605 participants
  Moderate

Stents vs no stents

Stents showed no clear difference in delayed gastric emptying compared with no stents (moderate certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.75 [0.24, 2.35]
  3 studies · 371 participants
  Moderate

Stents vs no stents

Stents showed no clear difference in intra‐abdominal abscess compared with no stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.38 [0.49, 3.85]
  1 study · 234 participants
  Low

Stents vs no stents

Stents showed no clear difference in wound infection compared with no stents (moderate certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.73 [0.4, 1.32]
  4 studies · 605 participants
  Moderate

Internal stents vs external stents

Internal stents showed no clear difference in reoperation compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 2.02 [0.38, 10.79]
  2 studies · 319 participants
  Low

Internal stents vs external stents

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  no estimate extracted
  2 studies · 262 participants
  Low

Internal stents vs external stents

Internal stents showed no clear difference in delayed gastric emptying compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.65 [0.66, 4.09]
  3 studies · 362 participants
  Low

Internal stents vs external stents

Internal stents showed no clear difference in pancreatitis compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.15 [0.01, 2.73]
  2 studies · 262 participants
  Low

Internal stents vs external stents

Internal stents showed no clear difference in intra‐abdominal abscess compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.91 [0.8, 4.58]
  3 studies · 362 participants
  Low

Internal stents vs external stents

Internal stents showed no clear difference in wound infection compared with external stents (moderate certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.41 [0.44, 4.48]
  2 studies · 319 participants
  Moderate

Internal stents vs external stents

Internal stents showed no clear difference in pancreatic fistulas compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.44 [0.94, 2.21]
  3 studies · 362 participants
  Low

Internal stents vs external stents

Internal stents showed no clear difference in in‐hospital mortality compared with external stents (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 0.33 [0.01, 7.99]
  3 studies · 362 participants
  Low

No replacement vs replacement

No replacement showed no clear difference in pancreatic fistulas compared with replacement (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.6 [0.84, 3.07]
  1 study · 46 participants
  Low

No replacement vs replacement

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 46 participants
  GRADE not reported

No replacement vs replacement

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  no estimate extracted
  1 study · 46 participants
  Low

No replacement vs replacement

No replacement showed no clear difference in delayed gastric emptying compared with replacement (low certainty).

• Stents for the prevention of pancreatic fistula following pancreaticoduodenectomy 2016 · Cochrane Headline outcomes only
  RR 1.05 [0.46, 2.41]
  1 study · 46 participants
  Low