Surgical management of pure pancreatic fistulas.

摘要: This paper reports on 13 patients with pure pancreatic fistulas defined as persistent lesions originating directly from the gland tissue and not a pancreatico-intestinal or pancreatico-gastric anastomosis. Six were external seven internal. All postoperative whereas all internal ones due to chronic pancreatitis. Conservative treatment of 2 36 months duration was unsuccessful, so that underwent surgery. To establish proper surgical strategy, preoperative mapping fistula by endoscopic retrograde cholangiopancreaticography (ERCP), fistulography and/or computerized tomography proved value. In eleven patients, flow surgically redirected into gastrointestinal tract, while remaining two submitted left resection. There no hospital deaths complication rate low. During follow-up time 6 96 recurrent seen.