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Endoscopic Management of Pancreatic Fistula and Leaks

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Diagnostic and Therapeutic Procedures in Gastroenterology

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Pancreatic fistula result from a disruption of the pancreatic ductal system and may occur in the course of (recurrent) episodes of acute pancreatitis, chronic pancreatitis, pancreatic malignancy, pancreatic resection, or trauma. The clinical consequences depend on multiple factors including etiology, site and extent of the disruption, and the presence of downstream obstruction of the pancreatic duct. A small leak from one of the side branches of an otherwise unobstructed pancreatic duct may resolve spontaneously, whereas a persistent leak from a major main pancreatic duct disruption may be complicated by pseudocyst formation, internal fistula formation causing ascites or pleural effusion, and external pancreatic fistulas. Treatment consists of supportive therapy, medical management, endoscopic intervention, or surgery.

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Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, Erasmus MC, University Medical Center, ‘s Gravendijkwal 230, 3015 CE, Rotterdam, The Netherlands

    Shailesh Kumar, Jan-Werner Poley & Marco J. Bruno

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  1. Shailesh Kumar
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  2. Jan-Werner Poley
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  3. Marco J. Bruno
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Correspondence to Marco J. Bruno .

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  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

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Kumar, S., Poley, JW., Bruno, M.J. (2018). Endoscopic Management of Pancreatic Fistula and Leaks. In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_33

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