Pancreatic-pleural fistula is best managed by early operative intervention.

  title={Pancreatic-pleural fistula is best managed by early operative intervention.},
  author={Jonathan Charles King and Howard A. Reber and Sharon Shiraga and Oscar Joe Hines},
  volume={147 1},
BACKGROUND Pancreatic-pleural fistula is an uncommon complication of chronic pancreatitis occurring as a result of disruption of the main pancreatic duct and tracking of pancreatic fluid through the retroperitoneum into 1 or both thoracic cavities. The optimal treatment strategy for pancreatic-pleural fistula is unknown; it has traditionally been medical management followed by operative therapy for patients who fail to respond to conservative treatment. Our objective was to compile the case… CONTINUE READING