title: Endoscopic management of pancreatic fistula after pancreatic and other abdominal surgery.
abstract: Post-operative pancreatic fistulae represent a challenge for all the actors in gastroenterology: for surgeons, because they want to prevent and treat conservatively this complication since re-operation is associated with high morbidity and mortality rates; for radiologists, because they have to provide the best staging and informations without any additional risk; and for endoscopists, because endoluminal treatment is emerging as a safe and effective procedure provided it is performed in highly experienced tertiary centres in the setting of a multidisciplinary approach. Herein, we review the definitions, the causes, the staging and the possible options to prevent or treat post-operative pancreatic fistulae. Special attention is paid to the endoscopic management of this complication: including the relief of ductal obstructions, the stenting of leakages and the drainage of bulging or non-bulging fluid collections. Practical problems and issues are clearly outlined as well as the need for future improvements in staging and management of the patients having such complications.
authors.affiliation: Department of Gastroenterology, ULB-Hôpital Erasme, 808 route de lennik, B-1070 Brussels, Belgium. olemoine@ulb.ac.be
authors.forename: Olivier
authors.initials: O
authors.lastname: Le Moine
authors.forename: Celso
authors.initials: C
authors.lastname: Matos
authors.forename: Jean
authors.initials: J
authors.lastname: Closset
authors.forename: Jacques
authors.initials: J
authors.lastname: Devière
mesh_terms: D049448:Cholangiopancreatography, Magnetic Resonance; D002908:Chronic Disease; D013505:Digestive System Surgical Procedures / Q000009:adverse effects*; D004322:Drainage; D016145:Endoscopy, Digestive System; D019160:Endosonography; D006801:Humans; D010183:Pancreatic Ducts; D010185:Pancreatic Fistula / Q000209:etiology / Q000601:surgery* / Q000628:therapy; D010195:Pancreatitis / Q000150:complications; D015642:Radiology, Interventional; D015607:Stents; D007507:Therapeutic Irrigation; D014057:Tomography, X-Ray Computed