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)
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2
Q

What is the treatment?

A
  • NPO
  • TPN
  • skin protection
  • octreotide
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3
Q

What is a “refractory” pancreatic fistula?

A

Pancreaticocutaneous fistula that does not resolve with conservative medical management (the minority of cases)

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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)

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5
Q

How is refractory tail of a pancreas fistula treated?

A

Resection of the tail of the pancreas and the fistula

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6
Q

How is refractory head of a pancreas fistula treated?

A

Pancreaticojejunostomy

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7
Q
A
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