Journal article
Management of Refractory Pancreatic Fistula: A Review of Literature
Pancreas – Open Journal, Vol.5(2), pp.23-27
12/30/2022
DOI: 10.17140/POJ-5-117
Abstract
Background Chronic non-healing or refractory pancreatic fistulae are rare complications of pancreatic surgery (pancreaticoduodenectomy, distal pancreatectomy) or pancreatitis. Materials and Methods We conducted a thorough literature search of electronic databases such as PubMed, Google Scholar, BioMed Central, and Cochrane Library using the keywords and medical subject headings (MeSH) terms “chronic pancreatic fistula”, “post-operative fistula”, “fistula management” and “refractory pancreatic fistula”. The purpose of this review is to evaluate the management options for refractory pancreatic fistula (PF). Results Literature reveals that refractory pancreatic fistulae have been managed by techniques like endoscopic ultrasound (EUS)-guided techniques like transmural puncture by clamping, puncture of the fistula tract, transmural placement of pigtail stent, and EUSguided pancreaticogastrostomy. Other techniques are postoperative endoscopic pancreatic stent placement in Grade C pancreatic fistula, intestinal decompression catheter insertion into the jejunum, embedding fistulojejunostomy, and fistulojejunostomy. Conclusion In conclusion, embedding fistulojejunostomy, EUS-guided transmural puncture by clamping, and EUS-guided transmural placement of pigtail stent are effective techniques for the management of refractory pancreatic fistulae. Yet further studies in a larger population are recommended.
Details
- Title: Subtitle
- Management of Refractory Pancreatic Fistula: A Review of Literature
- Creators
- Hassan AzizShahzaib AhmadFaisal S. JehanWasif M. SaifSyed Ahmad
- Resource Type
- Journal article
- Publication Details
- Pancreas – Open Journal, Vol.5(2), pp.23-27
- DOI
- 10.17140/POJ-5-117
- ISSN
- 2471-142X
- eISSN
- 2471-142X
- Number of pages
- 5
- Language
- English
- Date published
- 12/30/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984701750402771
Metrics
1 Record Views