[Conservative treatment of postoperative pancreatic fistula. Role of interventional radiology].
OBJECTIVE
To assess the role of interventional radiology in the conservative treatment of postoperative pancreatic fistula.


METHODS
A case of a high flow mixed entero-bilio-pancreatic fistula caused by dehiscence of pancreatic-jejunal anastomosis after duodenocephalopancreasectomy for endocrine neoplasm of the head of the pancreas,


METHODS
General Surgery Division and Diagnostic Radiology.


CONCLUSIONS
Conservative treatment represents at the time being, due to the current possibilities in assisting critical patients and in controlling pancreatic secretory activity, the first choice in pancreatic fistula treatment. The effectiveness of this treatment depends on the severity of inflammatory disease of the pancreas. Clinical (Ranson, Glasgow, APACHE II) and radiological (Balthazar, Vernacchia) parameter evaluation is a critical step in therapeutic choice. Surgery should be used in patients with severe pancreatitis. Conservative treatment represents the first choice in stable and critical patients with mild pancreatitis.
Aldrighetti
L
L
Dipartimento di Scienze e Tecnologie Biomediche, Università degli Studi-Milano.
Castrucci
M
M
Catena
M
M
Salvioni
M
M
Graci
C
C
Del Maschio
A
A
Ferla
G
G
D000328:Adult; D006801:Humans; D008297:Male; D010185:Pancreatic Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects*; D015641:Radiography, Interventional
Trattamento conservativo della fistola pancreatica postoperatoria. Ruolo della radiologia interventistica.