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Pancreatic Fistula after Pancreatectomy : Definitions, Risk Factors, Preventive Measures, and Management—Review
Author
Source
International Journal of Surgical Oncology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-04-24
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Resection of pancreas, in particular pancreaticoduodenectomy, is a complex procedure, commonly performed in appropriately selected patients with benign and malignant disease of the pancreas and periampullary region.
Despite significant improvements in the safety and efficacy of pancreatic surgery, pancreaticoenteric anastomosis continues to be the “Achilles heel” of pancreaticoduodenectomy, due to its association with a measurable risk of leakage or failure of healing, leading to pancreatic fistula.
The morbidity rate after pancreaticoduodenectomy remains high in the range of 30% to 65%, although the mortality has significantly dropped to below 5%.
Most of these complications are related to pancreatic fistula, with serious complications of intra-abdominal abscess, postoperative bleeding, and multiorgan failure.
Several pharmacological and technical interventions have been suggested to decrease the pancreatic fistula rate, but the results have been controversial.
This paper considers definition and classification of pancreatic fistula, risk factors, and preventive approach and offers management strategy when they do occur.
American Psychological Association (APA)
Oneil Machado, Norman. 2012. Pancreatic Fistula after Pancreatectomy : Definitions, Risk Factors, Preventive Measures, and Management—Review. International Journal of Surgical Oncology،Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-484188
Modern Language Association (MLA)
Oneil Machado, Norman. Pancreatic Fistula after Pancreatectomy : Definitions, Risk Factors, Preventive Measures, and Management—Review. International Journal of Surgical Oncology No. 2012 (2012), pp.1-10.
https://search.emarefa.net/detail/BIM-484188
American Medical Association (AMA)
Oneil Machado, Norman. Pancreatic Fistula after Pancreatectomy : Definitions, Risk Factors, Preventive Measures, and Management—Review. International Journal of Surgical Oncology. 2012. Vol. 2012, no. 2012, pp.1-10.
https://search.emarefa.net/detail/BIM-484188
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-484188