Treatment of Chronic Pancreatitis with Internal Pancreatic Fistula
Internal pancreatic fistula is a complication of chronic pancreatitis that presents a distinct clinical challenge, requiring a management approach tailored to this specific scenario.
This protocol is for patients with chronic pancreatitis who develop an internal pancreatic fistula — a complication that warrants dedicated, structured management beyond standard chronic pancreatitis care.
Surgical intervention plays a central role in the management of this complication in selected patients.
References
Placement of a pancreatic duct stent is recommended as the initial treatment for internal pancreatic fistula.
Surgery is performed for patients in whom endoscopic and conservative treatment has been ineffective and for those with complications, such as intra-abdominal infection.
The main surgical procedures performed for internal pancreatic fistula are pancreatojejunostomy and cystogastrostomy, with pancreatectomy performed in 10–50% of cases.
DOI: 10.1007/s00535-022-01911-6
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