Document Detail


The endoscopic management of pancreatic fistulas.
MedLine Citation:
PMID:  15696357     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Interest in the use of therapeutic endoscopy for the treatment of pancreatic diseases has been on the increase for several years. Our aim was to assess the efficacy of endoscopic retrograde cholangiopancreaticography (ERCP) in the treatment of pancreatic fistulas. METHODS: We evaluated the results of therapeutic ERCP in 50 patients with pancreatic fistula treated at the Helsinki University Central Hospital from 1998 to 2003. RESULTS: The success rate of fistula closure after therapeutic ERCP was 82%. Five patients required operative treatment when ERCP was unsuccessful. There was little morbidity and no procedure-related mortality. Four patients died because severe illnesses made them unfit for any further procedures. CONCLUSION: ERCP is a safe and effective modality and should be considered as first-line therapy in the management of pancreatic fistula.
Authors:
J Halttunen; L Weckman; E Kemppainen; M L Kylänpää
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Publication Detail:
Type:  Evaluation Studies; Journal Article     Date:  2005-02-17
Journal Detail:
Title:  Surgical endoscopy     Volume:  19     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-06-16     Completed Date:  2006-05-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  559-62     Citation Subset:  IM    
Affiliation:
Department of Gastrointestinal and General Surgery, Helsinki University Central Hospital, Helsinki, Finland. jorma.halttunen@hus.fi
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MeSH Terms
Descriptor/Qualifier:
Abdominal Cavity / surgery
Acute Disease
Adult
Aged
Aged, 80 and over
Cholangiopancreatography, Endoscopic Retrograde / methods*,  statistics & numerical data
Chronic Disease
Cutaneous Fistula / diagnosis,  surgery
Female
Fistula / diagnosis,  surgery
Humans
Male
Mediastinal Diseases / diagnosis,  surgery
Middle Aged
Pancreas / abnormalities
Pancreatic Ducts / pathology
Pancreatic Fistula / diagnosis,  surgery*
Pancreatitis / complications
Pleural Diseases / diagnosis,  surgery
Postoperative Complications
Reoperation
Sphincterotomy, Endoscopic
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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