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Persistent Pancreatic Fistula

  • Purvi Y. Parikh
  • Keith D. LillemoeEmail author
Chapter

Abstract

Pancreatic fistula is defined as the leakage of pancreatic fluid from a pancreatic duct disruption either after a pancreatic resection or from acute or chronic pancreatitis. The frequency of fistula incidence varies between 2 and 50 %. In recent years, the international definition of pancreatic fistula has been standardized according to the approach of the International Study Group on Pancreatic Fistula (ISGPF). The management of pancreatic fistula can be complex and mandates a multidisciplinary approach. The basic principle of care including fistula control/patient stabilization, delineation of pancreatic duct anatomy, and definitive therapy remain of vital importance.

Keywords

Pancreatic resection Pancreatectomy Pancreatic fistula Postoperative pancreatic complications Pancreatic duct stent Pancreatitis Pseudocyst 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryStony Brook UniversityStony BrookUSA
  2. 2.Department of SurgeryMassachusetts General HospitalBostonUSA
  3. 3.Harvard Medical SchoolBostonUSA

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