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Reply to: Impact of preoperative biliary drainage on postoperative outcome after pancreaticoduodenectomy

We appreciated the Letter by Li et al. regarding our manuscript on the impact of preoperative biliary drainage (PBD) on postoperative outcomes after pancreaticoduodenectomy (PD). The manuscript reflects the institutional policy of the jaundice treatment of the patients undergoing PD. Our center is a high volume center, treating patients that had often received a PBD in a country-hospital. In this setting, we believe that the bilirubin cutoff described could be the decision driver for the PBD. This article is protected by copyright. All rights reserved.