Management of internal and external pancreatic fistulas.
A pancreatic fistula is an uncommon and challenging problem for the general surgeon. Protean in presentation, the underlying pathophysiology of a pancreatic duct disruption is consistent. Several basic principles, when followed, simplify management. These tenets include medical stabilization and nutritional optimization, definition of the underlying duct disorder, and, finally, definitive management with or without surgery. With appropriate prompt care, patients can achieve good outcomes.
Morgan
Katherine A
KA
Section of Gastrointestinal and Laparoscopic Surgery, Medical University of South Carolina, 96 Jonathon Lucas Street, CSB 211, Charleston, SC 29425, USA.
Adams
David B
DB
D000714:Anastomosis, Surgical; D001201:Ascites / Q000628:therapy; D004322:Drainage; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D042882:Gallstones / Q000150:complications; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006801:Humans; D018529:Nutritional Support; D015282:Octreotide / Q000627:therapeutic use; D010185:Pancreatic Fistula / Q000150:complications / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D010192:Pancreatic Pseudocyst / Q000628:therapy; D010996:Pleural Effusion / Q000209:etiology; D014057:Tomography, X-Ray Computed
D015718:Fibrin Tissue Adhesive; D005765:Gastrointestinal Agents; D015282:Octreotide