Acute pancreatitis and pancreatic fistula formation.
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.
Fielding
G A
GA
Department of Surgery, Royal Infirmary, Glasgow, UK.
McLatchie
G R
GR
Wilson
C
C
Imrie
C W
CW
Carter
D C
DC
D000038:Abscess / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D001201:Ascites / Q000209:etiology; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009336:Necrosis; D010179:Pancreas / Q000473:pathology; D010185:Pancreatic Fistula / Q000209:etiology* / Q000601:surgery; D010192:Pancreatic Pseudocyst / Q000601:surgery; D010195:Pancreatitis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications