Management of internal and external pancreatic fistulas

被引：29
作者：
Morgan, Katherine A. [1 ]
Adams, David B. [1 ]
机构：
[1] Med Univ S Carolina, Sect Gastrointestinal & Laparoscop Surg, Charleston, SC 29425 USA
来源：
SURGICAL CLINICS OF NORTH AMERICA | 2007年 / 87卷 / 06期
关键词：
D O I：
10.1016/j.suc.2007.08.008
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
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.
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收藏
页码：1503 / +
页数：12
相关论文
共 15 条
  • [1] Adams DB, 2000, AM SURGEON, V66, P256
  • [2] Postoperative pancreatic fistula: An international study group (ISGPF) definition
    Bassi, C
    Dervenis, C
    Butturini, G
    Fingerhut, A
    Yeo, C
    Izbicki, J
    Neoptolemos, J
    Sarr, M
    Traverso, W
    Buchler, M
    [J]. SURGERY, 2005, 138 (01) : 8 - 13
  • [3] Bassi C., 1998, PANCREAS, Vfirst, P632
  • [4] INTERNAL PANCREATIC FISTULAS - PANCREATIC ASCITES AND PLEURAL EFFUSIONS
    CAMERON, JL
    KIEFFER, RS
    ANDERSON, WJ
    ZUIDEMA, GD
    [J]. ANNALS OF SURGERY, 1976, 184 (05) : 587 - 594
  • [5] 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
  • [6] The endoscopic management of pancreatic fistulas
    Halttunen, J
    Weckman, L
    Kemppainen, E
    Kylänpää, ML
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2005, 19 (04): : 559 - 562
  • [7] Distal pancreatectomy -: Risk factors for surgical failure in 302 consecutive cases
    Kleeff, Joerg
    Diener, Markus K.
    Z'graggen, Kaspar
    Hinz, Ulf
    Wagner, Markus
    Bachmann, Jeannine
    Zehetner, Joerg
    Mueller, Michael W.
    Friess, Helmut
    Buechler, Markus W.
    [J]. ANNALS OF SURGERY, 2007, 245 (04) : 573 - 582
  • [8] Does fibrin glue sealant decrease the rate of pancreatic fistula after pancreaticoduodenectomy? Results of a prospective randomized trial
    Lillemoe, KD
    Cameron, JL
    Kim, MP
    Campbell, KA
    Sauter, PK
    Coleman, YA
    Yeo, CY
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2004, 8 (07) : 766 - 772
  • [9] Risk factors and outcomes in postpancreaticoduodenectomy pancreaticocutaneous fistula
    Lin, JW
    Cameron, JL
    Yeo, CJ
    Riall, TS
    Lillemoe, KD
    [J]. JOURNAL OF GASTROINTESTINAL SURGERY, 2004, 8 (08) : 951 - 959
  • [10] Prospective, randomized trial of octreotide to prevent pancreatic fistula after pancreaticoduodenectomy for malignant disease
    Lowy, AM
    Lee, JE
    Pisters, PWT
    Davidson, BS
    Fenoglio, CJ
    Stanford, P
    Jinnah, R
    Evans, DB
    [J]. ANNALS OF SURGERY, 1997, 226 (05) : 632 - 641
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