Surgical management of pancreaticocutaneous fistula.

Journal Article

Although enteric drainage of the fistula tract is a widely accepted treatment for pancreaticocutaneous fistula, few data have been published on the outcome of this procedure. We conducted a retrospective chart review of 30 patients with pancreaticocutaneous fistula who underwent surgical management at a single institution over a 13-year period. The operative morbidity rate was 30%. Overall the incidence of recurrent ductal leaks requiring further intervention was 23%. Six of seven patients who had a recurrence had an ongoing inflammatory pathology, and three of seven had pancreas divisum. Recurrence was most likely when cystenterostomy was used. Enteric drainage of pancreaticocutaneous fistulas is not always curative. Fistulojejunostomy gives a better outcome than cystenterostomy. Recurrence may be expected in patients with continuing inflammatory ductal pathology.

Full Text

Duke Authors

Cited Authors

  • Voss, M; Ali, A; Eubanks, WS; Pappas, TN

Published Date

  • May 2003

Published In

Volume / Issue

  • 7 / 4

Start / End Page

  • 542 - 546

PubMed ID

  • 12763413

International Standard Serial Number (ISSN)

  • 1091-255X

Digital Object Identifier (DOI)

  • 10.1016/S1091-255X(02)00185-3

Language

  • eng

Conference Location

  • United States