Trattamento conservativo della fistola pancreatica postoperatoria. Ruolo della radiologia interventistica

Translated title of the contribution: Conservative treatment of postoperative pancreatic fistula. Role of interventional radiology

L. Aldrighetti, M. Castrucci, M. Catena, M. Salvioni, C. Graci, A. Del Maschio, G. Ferla

Research output: Contribution to journalArticlepeer-review

Abstract

Objective. To assess the role of interventional radiology in the conservative treatment of postoperative pancreatic fistula. Case report. A case of a high flow mixed entero-bilio-pancreatic fistula caused by dehiscence of pancreatic-jejunal anastomosis after duodenocephalopancreasectomy for endocrin neoplasm of the head of the pancreas. Setting. General Surgery Division and Diagnostic Radiology. Conclusions. Conservative treatment represents at the time being, due to the current possibilities in assisting critical patients and in controlling pancreatic secretory activity, the first choice in pancreatic fistula treatment. The effectiveness of this treatment depends on the severity of inflammatory disease of the pancreas, Clinical (Ranson, Glasgow, APACHE II) and radiological (Balthazar, Vernacchia) parameter evaluation is a critical step in therapeutic choice. Surgery should be used in patients with severe pancreatitis. Conservative treatment represents the first choice in stable and critical patients with mild pancreatitis.

Translated title of the contributionConservative treatment of postoperative pancreatic fistula. Role of interventional radiology
Original languageItalian
Pages (from-to)839-848
Number of pages10
JournalMinerva Chirurgica
Volume51
Issue number10
Publication statusPublished - Oct 1996

ASJC Scopus subject areas

  • Surgery

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