PANCREATIC FISTULA AFTER PANCREATIC RESECTION: RISK AND MANAGEMENT | ||
| The Egyptian Journal of Surgery | ||
| Article 5, Volume 31, Issue 1, January 2012, Pages 24-29 PDF (556.23 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2012.367270 | ||
| Authors | ||
| Alaa Abdel-Razek* ; Khaled Katri; Samer Bessa; Elsaid Elkayal | ||
| Department of Surgery, Faculty of Medicine, Alexandria University | ||
| Abstract | ||
| Aim of this study: Was to identify the risk factors and the outcome of management of pancreatic fistula after pancreatic resection. Methods: This prospective study included 65 consecutive pancreaticoduodenectomy performed for patients with pancreatic or periampullary tumors. Pancreatico-jejunal anastomosis was done by duct-tomucosa method in 57 patients and by dunking method in 8 patients. Postoperative evaluation included estimation of the drain output and its amylase content. Results: The patients were 34 (52.3%) males and 31 (47.7%) females. Nine patients (13.8%) developed fistula. There was statistically significant association between the development of pancreatic fistula and small caliber of pancreatic duct <3mm, soft pancreas, plasma albumin < 3gm/dl and dunking anastomosis. Five patients recovered by conservative treatment alone. Three patients needed interventional radiology in addition to conservative treatment. Two patients died. Conclusion: Many risk factors of pancreatic fistula were identified. The majority of pancreatic fistulae could be treated successfully by conservative treatment alone or with interventional radiology. | ||
| Keywords | ||
| Pancreaticojejunostomy; pancreatic duct caliber; interventional radiology | ||
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