Chapter 46: Fistulas- External Pancreatic Fistula Flashcards
1
Q
What is it?
A
Pancreaticocutaneous fistula
- drainage of pancreatic exocrine secretions through to abdominal skin (usually through drain tract/wound)
2
Q
What is the treatment?
A
- NPO
- TPN
- skin protection
- octreotide
3
Q
What is a “refractory” pancreatic fistula?
A
Pancreaticocutaneous fistula that does not resolve with conservative medical management (the minority of cases)
4
Q
What is the diagnostic test for “refractory” pancreatic fistulas?
A
ERCP to define site of fistula tract (i.e., tail versus head of pancreas)
5
Q
How is refractory tail of a pancreas fistula treated?
A
Resection of the tail of the pancreas and the fistula
6
Q
How is refractory head of a pancreas fistula treated?
A
Pancreaticojejunostomy
7
Q
A
