Endoscopic stent placement for internal and external pancreatic fistulas

Zahid A. Saeed, Francisco C. Ramirez, Kenneth S. Hepps

Research output: Contribution to journalArticle

118 Scopus citations

Abstract

Stents have been effectively used for various pancreatic conditions. Pancreatic fistulas, however, have traditionally been considered a surgical disease, and if the fistula does not respond to conservative measures, an operation is usually performed. Stents were placed endoscopically in five consecutive patients who presented with pancreatic fistulas that did not respond to conservative management. Fistulas resolved in all patients after endoscopic stent placement, and after 14-30 months of follow-up, none has recurred. The cases comprise two patients with pancreaticocutaneous fistula and one each with pancreaticopleural, pancreaticoperitoneal, and pancreaticocholedochal fistula. The need for an operation can be obviated in many patients with internal and external pancreatic fistulas.

Original languageEnglish (US)
Pages (from-to)1213-1217
Number of pages5
JournalGastroenterology
Volume105
Issue number4
DOIs
StatePublished - Oct 1993

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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