Pancreaticopleural Fistula : Revisited
Author
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-31
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Pancreaticopleural fistula is a rare complication of acute and chronic pancreatitis.
This usually presents with chest symptoms due to pleural effusion, pleural pseudocyst, or mediastinal pseudocyst.
Diagnosis requires a high index of clinical suspicion in patients who develop alcohol-induced pancreatitis and present with pleural effusion which is recurrent or persistent.
Analysis of pleural fluid for raised amylase will confirm the diagnosis and investigations like CT.
Endoscopic retrograde cholangiopancreaticography (ECRP) or magnetic resonance cholangiopancreaticography (MRCP) may establish the fistulous communication between the pancreas and pleural cavity.
The optimal treatment strategy has traditionally been medical management with exocrine suppression with octreotide and ERCP stenting of the fistulous pancreatic duct.
Operative therapy considered in the event patient fails to respond to conservative management.
There is, however, a lack of clarity regarding the management, and the literature is reviewed here to assess the present view on its pathogenesis, investigations, and management.
American Psychological Association (APA)
Oneil Machado, Norman. 2012. Pancreaticopleural Fistula : Revisited. Diagnostic and Therapeutic Endoscopy،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500319
Modern Language Association (MLA)
Oneil Machado, Norman. Pancreaticopleural Fistula : Revisited. Diagnostic and Therapeutic Endoscopy No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-500319
American Medical Association (AMA)
Oneil Machado, Norman. Pancreaticopleural Fistula : Revisited. Diagnostic and Therapeutic Endoscopy. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-500319
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-500319