Conservative management of pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy

  title={Conservative management of pancreatic fistula after pancreaticoduodenectomy with pancreaticogastrostomy},
  author={Nicolas Munoz-Bongrand and Alain Sauvanet and Alban Denys and Annie Sibert and Val{\'e}rie Vilgrain and Jacques Belghiti},
  journal={Journal of the American College of Surgeons},
  volume={199 2},
BACKGROUND Pancreatic fistula (PF), which is a major complication of pancreaticoduodenectomy (PD), can be treated conservatively or by reoperation. The aim of this study was to evaluate conservative management of PF, which was attempted whenever possible as a first-intention treatment in a large series of PD. STUDY DESIGN From 1990 to 2000, 242 patients underwent PD with pancreaticogastrostomy. PF was observed in 31 (13%) and was defined by an amylase-rich surgical drainage fluid (above… CONTINUE READING


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