Limitations of Conservative Therapy of Pancreatic Fistulas

摘要: Over the past decade advent of potent inhibitors exocrine pancreatic secretion and use nutritional methods favoring rest, have substantially enriched armamentarium available to physicians for treatment inflammatory disease. In particular, results achieved in external fistulas (EPFs), been so spectacular as generate widespread conviction that fistula closure can be obtained all cases a short space time, without any need surgery. 1986, we ourselves reported combination naturally occurring somatostatin (SST) total parenteral nutrition (TPN) should regarded best terms times, though not healing rates [13]. following chapter, shall deal some detail with problems nonresponders medical treatment, view identifying those elements which hinder and/or prevent therapy.