RT Journal
A1 Linehan DC
T1 The right way to do a whipple procedure: Comment on “stenting and the rate of pancreatic fistula following pancreaticoduodenectomy”
JF Archives of Surgery
JO Archives of Surgery
YR 2012
FD January 1
VO 147
IS 1
SP 41
OP 41
DO 10.1001/archsurg.2011.1016
UL http://dx.doi.org/10.1001/archsurg.2011.1016
AB 
One of our recent hepatobiliary-pancreatic surgery fellows made rounds on his first day of fellowship and asked me afterward why we did not have a standard way of treating patients who had undergone Whipple procedures. During rounds he saw 4 such postoperative patients, all of whom had undergone resection 2 days earlier. Two had nasogastric tubes, 3 had intra-abdominal drains, 2 had external pancreatic duct stents, 1 had an internal pancreatic duct stent, and 1 had neither drains nor stents at all. The fellow quickly surmised that there were as many variations as there are attending pancreatic surgeons on our faculty, and he made several (unsuccessful) attempts to get us to standardize our approach.