✦ LIBER ✦

Acute pancreatitis and pancreatic fistula formation

✍ Scribed by G. A. Fielding; G. R. McLatchie; C. Wilson; C. W. Imrie; Professor D. C. Carter

Publisher: John Wiley and Sons
Year: 1989
Tongue: English
Weight: 403 KB
Volume: 76
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800761106

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✦ Synopsis

Abstract
The cause, management and outcome of 23 patients with a pancreatic fistula following acute pancreatitis are reviewed. Nineteen patients developed an external fistula following necrosectomy or drainage of a pancreatic abscess or pseudocyst; four of these patients died. In the 15 survivors spontaneous closure occurred in 11 cases with low output fistulae; operative intervention was needed in the four cases with high output fistulae. Four patients with internal fistulae had not undergone previous surgery; two of them had a pancreaticopleural fistula with associated pancreaticogastric fistulae, while two had pancreatic ascites. All four of these patients required surgical intervention and one died.

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