The endoscopic management of pancreatic fistulas

被引：47

作者：

Halttunen, J ^{[1
]}

Weckman, L ^{[1
]}

Kemppainen, E ^{[1
]}

Kylänpää, ML ^{[1
]}

机构：

[1] Univ Helsinki, Cent Hosp, Dept Gastrointestinal & Gen Surg, Helsinki, Finland

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2005年 / 19卷 / 04期

关键词：

pancreatic fistula; endoscopic treatment; pancreatic stent;

D O I：

10.1007/s00464-004-9140-2

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: Interest in the use of therapeutic endoscopy for the treatment of pancreatic diseases has been on the increase for several years. Our aim was to assess the efficacy of endoscopic retrograde cholangiopancreaticography (ERCP) in the treatment of pancreatic fistulas. Methods: We evaluated the results of therapeutic ERCP in 50 patients with pancreatic fistula treated at the Helsinki University Central Hospital from 1998 to 2003. Results: The success rate of fistula closure after therapeutic ERCP was 82%. Five patients required operative treatment when ERCP was unsuccessful. There was little morbidity and no procedure-related mortality. Four patients died because severe illnesses made them unfit for any further procedures. Conclusion: ERCP is a safe and effective modality and should be considered as first-line therapy in the management of pancreatic fistula.

引用

页码：559 / 562

页数：4

共 15 条

[1] Somatostatin analogues and pancreatic fistulas
Bassi, C
Falconi, M
Caldiron, E
Bonora, A
Salvia, R
Pederzoli, P
[J]. DIGESTION, 1996, 57 : 94 - 96
[2] Endoscopic stent placement for pancreaticocutaneous fistula after surgical drainage of the pancreas
Boerma, D
Rauws, EAJ
van Gulik, TM
Huibregtse, K
Obertop, H
Gouma, DJ
[J]. BRITISH JOURNAL OF SURGERY, 2000, 87 (11) : 1506 - 1509
[3] Endoscopic treatment of postsurgical external pancreatic fistulas
Costamagna, G
Mutignani, M
Ingrosso, M
Vamvakousis, V
Alevras, P
Manta, R
Perri, V
[J]. ENDOSCOPY, 2001, 33 (04) : 317 - 322
[4] TREATMENT OF PANCREATIC PSEUDOCYSTS WITH PERCUTANEOUS DRAINAGE AND OCTREOTIDE - WORK IN PROGRESS
DAGOSTINO, HB
VANSONNENBERG, E
SANCHEZ, RB
GOODACRE, BW
VILLAVEIRAN, RG
LYCHE, K
[J]. RADIOLOGY, 1993, 187 (03) : 685 - 688
[5] DRAKE DH, 1989, SURGERY, V105, P131
[6] Endoscopic management of pancreatic fistulas secondary to intraabdominal operation
Fischer, A
Benz, S
Baier, P
Hopt, UT
[J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2004, 18 (04): : 706 - 708
[7] Gastrostomy tube insertion into intestinal-cutaneous tract fistulas is a new technique to improve fistula control
Halttunen, J
Sirén, J
Kivilaakso, E
[J]. DIGESTIVE SURGERY, 2003, 20 (06) : 516 - 519
[8] PANCREATIC STENTS CAN INDUCE DUCTAL CHANGES CONSISTENT WITH CHRONIC-PANCREATITIS
KOZAREK, RA
[J]. GASTROINTESTINAL ENDOSCOPY, 1990, 36 (02) : 93 - 95
[9] KOZAREK RA, 1991, GASTROENTEROLOGY, V100, P1362
[10] ENDOSCOPIC TREATMENT OF PANCREATIC ASCITES
KOZAREK, RA
JIRANEK, GC
TRAVERSO, L
[J]. AMERICAN JOURNAL OF SURGERY, 1994, 168 (03) : 223 - 226

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