{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T14:48:24Z","timestamp":1770734904587,"version":"3.49.0"},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,3,23]],"date-time":"2023-03-23T00:00:00Z","timestamp":1679529600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background\/Purpose<\/jats:title><jats:p>This retrospective study aimed to investigate the risk factors for postoperative cholangitis (POC) after pancreaticoduodenectomy (PD) and the efficacy of stenting on hepaticojejunostomy (HJ).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We investigated 162 patients. Postoperative cholangitis occurring before and after discharge was defined as early\u2010onset POC (E\u2010POC) and late\u2010onset POC (L\u2010POC), respectively. Risk factors for E\u2010POC and L\u2010POC were identified using univariate and multivariate logistic regression analyses. Propensity score matching (PSM) between the stenting group (group S) and the non\u2010stenting group (group NS), and subgroup analysis in patients with risk factors were performed to evaluate the efficacy of stenting on HJ in preventing POC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Body mass index (BMI)\u2009\u2265\u200925\u2009kg\/m<jats:sup>2<\/jats:sup> and preoperative non\u2010biliary drainage (BD) were risk factors for E\u2010POC and L\u2010POC, respectively. PSM analysis revealed that E\u2010POC occurrence was significantly higher in group S than in group NS (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.045). In the preoperative non\u2010BD group (n\u00a0=\u00a069), E\u2010POC occurrence was significantly higher in group S than in group NS (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.025).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BMI\u2009\u2265\u200925\u2009kg\/m<jats:sup>2<\/jats:sup> and preoperative non\u2010BD status were risk factors for E\u2010POC and L\u2010POC, respectively. Stenting on HJ implants did not prevent POC after PD.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1322","type":"journal-article","created":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T08:16:14Z","timestamp":1677831374000},"page":"1065-1077","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Risk factors for postoperative cholangitis after pancreaticoduodenectomy and evaluation of internal stenting on hepaticojejunostomy: A single\u2010center propensity score\u2010based analysis"],"prefix":"10.1002","volume":"30","author":[{"given":"Hiroki","family":"Sakai","sequence":"first","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto 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Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Masuo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takahiro","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Gastroenterological, Hepato\u2010Biliary\u2010Pancreatic, Transplantation and Pediatric Surgery Shinshu University School of Medicine  Matsumoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyotaka","family":"Hosoda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of 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