Report of three cases of chronic pancreatic fistulas treated with prolamine as a sclerosing substance following pancreatic resection.
BACKGROUND
Pancreatic fistulas are one of the most common and important complications after pancreatic resection and their consequences are a life-threatening event. Thus, they must be treated in the best way and resolved as soon as possible to avoid their morbidity.


METHODS
Three cases of pancreatic fistula following pancreatic resection were reported. They were treated with percutaneous embolization using a sclerosing substance, prolamine, injected into the Wirsung duct via drainage catheter.


RESULTS
No complications of the technique were revealed and closure of the pancreatic fistula was obtained shortly thereafter.


CONCLUSIONS
The technique is safe and simple and can be repeated several times. It allows good results without complications. Finally, it avoids additional surgery allowing a shorter recovery time and a lower risk of morbidity.
Casadei
Riccardo
R
Department of Surgical and Anesthesiological Sciences, Alma Mater Studiorum - University of Bologna, S.Orsola-Malpighi Hospital, Bologna, Italy. casadei@aosp.bo.it
Bassi
Francesco
F
Calculli
Lucia
L
Zanini
Nicola
N
Greco
Vincenzo Maria
VM
Minni
Francesco
F
D000328:Adult; D002908:Chronic Disease; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D010183:Pancreatic Ducts / Q000000981:diagnostic imaging / Q000473:pathology; D010185:Pancreatic Fistula / Q000175:diagnosis* / Q000188:drug therapy* / Q000209:etiology; D010190:Pancreatic Neoplasms / Q000150:complications / Q000601:surgery; D010665:Phenylpropanolamine / Q000008:administration & dosage / Q000627:therapeutic use*; D012597:Sclerosing Solutions / Q000008:administration & dosage / Q000627:therapeutic use*; D014057:Tomography, X-Ray Computed
D012597:Sclerosing Solutions; D010665:Phenylpropanolamine