|
KMID : 0378019810240050106
|
|
New Medical Journal
1981 Volume.24 No. 5 p.106 ~ p.110
|
|
|
External Pancreatic Fistula
|
|
|
|
|
Abstract
|
|
|
Pancreatic fistula is the leading postoperative complication of trauma to the pancreas, and a greater portion of the pancreatic fistulas are external and follow operation on or adjacent to the pancreas. Despite improved surgical treatment of pancreatic damage, a pancreatic fistula of greater or lesser severity will be encountered in 5^+6% of patients experiencing injury to the gland.
Since Rommelaere made the first mention of human pancreatic fistula in 1877, many authors have reported pancreatic fistulas, but the reports concering the management of fistula are rare and too simple.
Recently, two instances of "pure" external pancreatic fistula have been described. One resulted from pancreatic trauma, contusion of head and neck, occured after surgery and the other was related to drainage of left lobe liver abscess expanding to lesser sac.
In the first case, the pancreatic juice was recognized in the drainage on the ninth postoperative day and it was on the twelfth postoperative day in the latter.
The drainages averaged 600-1200ml/day and 800-1100 ml/day, and all drainages ceased on the 43rd and 30th postoperative day respectively.
Both of the patients had characteristic findings and course of the pancreatic fistula. But conservative treatment including replacement of water and electrolyte loss, intermittent avoidance of feeding and parenteral hyperalimentation, and additional anticholinergic agent "Daricon" therapy achieved excellent results.
No operative closure of the fistula was needed.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|