A single-institution experience with fistulojejunostomy for external pancreatic fistulas

Claudio Bassi, Giovanni Butturini, Roberto Salvia, Conrado Contro, Adriano Valerio, Massimo Falconi, Paolo Pederzoli

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

External pancreatic fistulas resistant to medical treatment are an indication for surgery. Over the period from May 1986 to March 1999, we operated on 17 patients suffering from a stabilized external pancreatic fistula as a result of surgical treatment for severe acute pancreatitis in 12 cases, chronic pancreatitis in 3, duodenopancreatectomy in 1, and islet cell tumor enucleation in 1. The surgical repair consisted of precise identification of the fistula tract around the drainage tube and its anastomosis with a Roux-en-Y jejunal loop (fistulojejunostomy). The surgical mortality was nil, and the postoperative outcome was uneventful in 12 patients. Four patients experienced surgical complications, all of which were treated conservatively. After a median follow-up of 93 months, 14 patients are still alive and healthy, 1 had died of neoplastic cachexia, and 2 were lost to follow-up. In our experience, fistulojejunostomy appears to be safe, easy to perform, and curative. Copyright (C) 2000 Excerpta Medica Inc.

Original languageEnglish
Pages (from-to)203-206
Number of pages4
JournalAmerican Journal of Surgery
Volume179
Issue number3
DOIs
Publication statusPublished - Mar 2000

Fingerprint

Cutaneous Fistula
Pancreatic Fistula
Roux-en-Y Anastomosis
Islet Cell Adenoma
Cachexia
Pancreaticoduodenectomy
Lost to Follow-Up
Chronic Pancreatitis
Pancreatitis
Fistula
Drainage
Mortality
Therapeutics

ASJC Scopus subject areas

  • Surgery

Cite this

A single-institution experience with fistulojejunostomy for external pancreatic fistulas. / Bassi, Claudio; Butturini, Giovanni; Salvia, Roberto; Contro, Conrado; Valerio, Adriano; Falconi, Massimo; Pederzoli, Paolo.

In: American Journal of Surgery, Vol. 179, No. 3, 03.2000, p. 203-206.

Research output: Contribution to journalArticle

Bassi, Claudio ; Butturini, Giovanni ; Salvia, Roberto ; Contro, Conrado ; Valerio, Adriano ; Falconi, Massimo ; Pederzoli, Paolo. / A single-institution experience with fistulojejunostomy for external pancreatic fistulas. In: American Journal of Surgery. 2000 ; Vol. 179, No. 3. pp. 203-206.
@article{bf059af1fcee409eba43a3d80590640f,
title = "A single-institution experience with fistulojejunostomy for external pancreatic fistulas",
abstract = "External pancreatic fistulas resistant to medical treatment are an indication for surgery. Over the period from May 1986 to March 1999, we operated on 17 patients suffering from a stabilized external pancreatic fistula as a result of surgical treatment for severe acute pancreatitis in 12 cases, chronic pancreatitis in 3, duodenopancreatectomy in 1, and islet cell tumor enucleation in 1. The surgical repair consisted of precise identification of the fistula tract around the drainage tube and its anastomosis with a Roux-en-Y jejunal loop (fistulojejunostomy). The surgical mortality was nil, and the postoperative outcome was uneventful in 12 patients. Four patients experienced surgical complications, all of which were treated conservatively. After a median follow-up of 93 months, 14 patients are still alive and healthy, 1 had died of neoplastic cachexia, and 2 were lost to follow-up. In our experience, fistulojejunostomy appears to be safe, easy to perform, and curative. Copyright (C) 2000 Excerpta Medica Inc.",
author = "Claudio Bassi and Giovanni Butturini and Roberto Salvia and Conrado Contro and Adriano Valerio and Massimo Falconi and Paolo Pederzoli",
year = "2000",
month = "3",
doi = "10.1016/S0002-9610(00)00291-9",
language = "English",
volume = "179",
pages = "203--206",
journal = "American Journal of Surgery",
issn = "0002-9610",
publisher = "Elsevier Inc.",
number = "3",

}

TY - JOUR

T1 - A single-institution experience with fistulojejunostomy for external pancreatic fistulas

AU - Bassi, Claudio

AU - Butturini, Giovanni

AU - Salvia, Roberto

AU - Contro, Conrado

AU - Valerio, Adriano

AU - Falconi, Massimo

AU - Pederzoli, Paolo

PY - 2000/3

Y1 - 2000/3

N2 - External pancreatic fistulas resistant to medical treatment are an indication for surgery. Over the period from May 1986 to March 1999, we operated on 17 patients suffering from a stabilized external pancreatic fistula as a result of surgical treatment for severe acute pancreatitis in 12 cases, chronic pancreatitis in 3, duodenopancreatectomy in 1, and islet cell tumor enucleation in 1. The surgical repair consisted of precise identification of the fistula tract around the drainage tube and its anastomosis with a Roux-en-Y jejunal loop (fistulojejunostomy). The surgical mortality was nil, and the postoperative outcome was uneventful in 12 patients. Four patients experienced surgical complications, all of which were treated conservatively. After a median follow-up of 93 months, 14 patients are still alive and healthy, 1 had died of neoplastic cachexia, and 2 were lost to follow-up. In our experience, fistulojejunostomy appears to be safe, easy to perform, and curative. Copyright (C) 2000 Excerpta Medica Inc.

AB - External pancreatic fistulas resistant to medical treatment are an indication for surgery. Over the period from May 1986 to March 1999, we operated on 17 patients suffering from a stabilized external pancreatic fistula as a result of surgical treatment for severe acute pancreatitis in 12 cases, chronic pancreatitis in 3, duodenopancreatectomy in 1, and islet cell tumor enucleation in 1. The surgical repair consisted of precise identification of the fistula tract around the drainage tube and its anastomosis with a Roux-en-Y jejunal loop (fistulojejunostomy). The surgical mortality was nil, and the postoperative outcome was uneventful in 12 patients. Four patients experienced surgical complications, all of which were treated conservatively. After a median follow-up of 93 months, 14 patients are still alive and healthy, 1 had died of neoplastic cachexia, and 2 were lost to follow-up. In our experience, fistulojejunostomy appears to be safe, easy to perform, and curative. Copyright (C) 2000 Excerpta Medica Inc.

UR - http://www.scopus.com/inward/record.url?scp=0034023341&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034023341&partnerID=8YFLogxK

U2 - 10.1016/S0002-9610(00)00291-9

DO - 10.1016/S0002-9610(00)00291-9

M3 - Article

C2 - 10827321

AN - SCOPUS:0034023341

VL - 179

SP - 203

EP - 206

JO - American Journal of Surgery

JF - American Journal of Surgery

SN - 0002-9610

IS - 3

ER -