[Binding fistulojejunostomy for the treatment of external pancreatic fistula].
OBJECTIVE
To evaluate the safety and feasibility of binding fistulojejunostomy, a new operative procedure, in the treatment of external pancreatic fistula.


METHODS
Eight patients suffering from external pancreatic fistula, 4 males and 4 females, aged 49 (22 approximately 69), underwent binding fistulojejunostomy: 2 cm-length of fistula was isolated and a tube was inserted therein, the jejunum was transected and the distant cut end was everted for the length of 3 cm, the mucosa of the everted jejunum was destroyed with carbolic acid, the everted mucosa of jejunum and the fistula were brought together and sutured with silk, the everted jejunum was then turned back to wrap over the fistula, a silk tie was lopped around the entire circumference of the anastomosis, and lastly, the tube was led out of the abdominal wall.


RESULTS
all 8 patients recovered smoothly without pancreatic leakage and other complications.


CONCLUSIONS
Binding fistulojejunostomy is safe and effective for the treatment of external pancreatic fistula.
Zhao
Yong-fu
YF
Department of General Surgery, First Affiliated Hospital Zhengzhou University, Zhengzhou 450052, China.
Wu
Yang
Y
Sun
Wan-ri
WR
Zhai
Wen-long
WL
Zhang
Shui-jun
SJ
D000328:Adult; D000368:Aged; D017577:Cutaneous Fistula / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007583:Jejunum / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000601:surgery*; D010193:Pancreaticojejunostomy / Q000379:methods*; D016896:Treatment Outcome