The American Journal of Surgery
Volume 197, Issue 6 , Pages 715-720 , June 2009

Endoscopic management of pancreatic fistula after distal pancreatectomy and enucleation

  • Nicolas Goasguen, MD

      Affiliations

    • Department of Hepatobiliary and Pancreatic Surgery, AP-HP, Beaujon Hospital, University Paris VII, 100 Boulevard du Général Leclerc, 92100, Clichy, France
    • ,
  • Anne Bourrier, MD

      Affiliations

    • Department of Gastroenterology, AP-HP, Cochin Hospital, Paris, France
    • ,
  • Philippe Ponsot, MD

      Affiliations

    • Department of Gastroenterology, AP-HP, Beaujon Hospital, Clichy, France
    • ,
  • Laurence Bastien, MD

      Affiliations

    • Department of Hepatobiliary and Pancreatic Surgery, AP-HP, Beaujon Hospital, University Paris VII, 100 Boulevard du Général Leclerc, 92100, Clichy, France
    • ,
  • Mickael Lesurtel, MD, PhD

      Affiliations

    • Department of Hepatobiliary and Pancreatic Surgery, AP-HP, Beaujon Hospital, University Paris VII, 100 Boulevard du Général Leclerc, 92100, Clichy, France
    • ,
  • Frederic Prat, MD, PhD

      Affiliations

    • Department of Gastroenterology, AP-HP, Cochin Hospital, Paris, France
    • ,
  • Bertrand Dousset, MD

      Affiliations

    • Department of Digestive Surgery, AP-HP, Cochin Hospital, Paris, France
    • ,
  • Alain Sauvanet, MD

      Affiliations

    • Department of Hepatobiliary and Pancreatic Surgery, AP-HP, Beaujon Hospital, University Paris VII, 100 Boulevard du Général Leclerc, 92100, Clichy, France
    • Corresponding Author InformationCorresponding author: Tel.: +33-140-87-5222; fax: +33-140-87-0926

Received 22 December 2007 ,Revised 14 March 2008

References 

  1. Fahy BN, Frey CF, Ho HS, et al. Morbidity, mortality, and technical factors of distal pancreatectomy. Am J Surg. 2002;183:237–241
  2. Pannegeon V, Pessaux P, Sauvanet A, et al. Pancreatic fistula after distal pancreatectomy: predictive risk factors and value of conservative treatment. Arch Surg. 2006;141:1071–1076
  3. Suzuki Y, Kuroda Y, Morita A, et al. Fibrin glue sealing for the prevention of pancreatic fistulas following distal pancreatectomy. Arch Surg. 1995;130:952–955
  4. Balcom JH, Rattner DW, Warshaw AL, et al. Ten-year experience with 733 pancreatic resections: changing indications, older patients, and decreasing length of hospitalization. Arch Surg. 2001;136:391–398
  5. Suzuki Y, Fujino Y, Tanioka Y, et al. Randomized clinical trial of ultrasonic dissector or conventional division in distal pancreatectomy for non-fibrotic pancreas. Br J Surg. 1999;86:608–611
  6. Lillemoe KD, Kaushal S, Cameron JL, et al. Distal pancreatectomy: indications and outcomes in 235 Patients. Ann Surg. 1999;229:693–698
  7. Crippa S, Bassi C, Salvia R, et al. Enucleation of pancreatic neoplasms. Br J Surg. 2007;94:1254–1259
  8. Balzano G, Zerbi A, Cristallo M, et al. The unsolved problem of fistula after left pancreatectomy: the benefit of cautious drain management. J Gastrointest Surg. 2005;9:837–842
  9. Rodriguez JR, Germes SS, Pandharipande PV, et al. Implications and cost of pancreatic leak following distal pancreatic resection. Arch Surg. 2006;141:361–365
  10. Sheehan MK, Beck K, Creech S, et al. Distal pancreatectomy: does the method of closure influence fistula formation?. Am Surg. 2002;68:264–267
  11. Sugo H, Mikami Y, Matsumoto F, et al. Distal pancreatectomy using the harmonic scalpel. Surgery. 2000;128:490–491
  12. Takeuchi K, Tsuzuki Y, Ando T, et al. Distal pancreatectomy: Is staple closure beneficial?. ANZ J Surg. 2003;73:922–925
  13. Suc B, Msika S, Fingerhut A, et al. Temporary fibrin glue occlusion of the main pancreatic duct in the prevention of intra-abdominal complications after pancreatic resection: prospective randomized trial. Ann Surg. 2003;237:57–65
  14. Montorsi M, Zago M, Mosca F, et al. Efficacy of octreotide in the prevention of pancreatic fistula after elective pancreatic resections: a prospective, controlled, randomized clinical trial. Surgery. 1995;117:26–31
  15. Abe N, Sugiyama M, Suzuki Y, et al. Preoperative endoscopic pancreatic stenting for prophylaxis of pancreatic fistula development after distal pancreatectomy. Am J Surg. 2006;19:198–200
  16. Hirota M, Kanemitsu K, Takamori H, et al. Local pancreatic resection with preoperative endoscopic transpapillary stenting. Am J Surg. 2007;194:308–310
  17. Kozarek RA, Ball TJ, Patterson DJ, et al. Endoscopic transpapillary therapy for disrupted pancreatic duct and peripancreatic fluid collections. Gastroenterology. 1991;100:1362–1370
  18. Boerma D, Rauws EA, van Gulik TM, et al. Endoscopic stent placement for pancreaticocutaneous fistula after surgical drainage of the pancreas. Br J Surg. 2000;87:1506–1509
  19. Halttunen J, Weckman L, Kemppainen E, et al. The endoscopic management of pancreatic fistulas. Surg Endosc. 2005;19:559–562
  20. Kleeff J, Büchler MW. Local pancreatic resection with preoperative endoscopic transpapillary stenting. Am J Surg. 2007;194:311–312
  21. Bassi C, Dervenis C, Butturini G, et al. Postoperative pancreatic fistula: an international study group (ISGPF) definition. Surgery. 2005;138:8–13
  22. Bilimoria MM, Cormier JN, Mun Y, et al. Pancreatic leak after left pancreatectomy is reduced following main pancreatic duct ligation. Br J Surg. 2003;90:190–196
  23. Kiely JM, Nakeeb A, Komorowski RA, et al. Cystic pancreatic neoplasms: enucleate or resect?. J Gastrointest Surg. 2003;7:890–897
  24. Saeed ZA, Ramirez FC, Hepps KS. Endoscopic stent placement for internal and external pancreatic fistulas. Gastroenterology. 1993;105:1213–1217
  25. Sugiyama M, Abe N, Yamaguchi Y, et al. Endoscopic pancreatic stent insertion for treatment of pseudocyst after distal pancreatectomy. Gastrointest Endosc. 2001;53:538–539
  26. Sarzen CD. Endoscopic management of pancreatic duct leak complicated by retrogastric abscess. Am J Gastroenterol. 1995;90:2039–2041
  27. Loperfido S, Angelini G, Benedetti G, et al. Major early complications from diagnostic and therapeutic ERCP: a prospective multicenter study. Gastrointest Endosc. 1998;48:1–10
  28. Kasmin FE, Cohen D, Batra S, et al. Needle-knife sphincterotomy in a tertiary referral center: efficacy and complications. Gastrointest Endosc. 1996;44:48–53
  29. Kozarek RA, Ball TJ, Patterson DJ, et al. Endoscopic pancreatic duct sphincterotomy: indications, technique, and analysis of results. Gastrointest Endosc. 1994;40:592–598
  30. Sauvanet A, Partensky C, Sastre B, et al. Medial pancreatectomy: a multi-institutional retrospective study of 53 patients by the French Pancreas Club. Surgery. 2002;132:836–843
  31. Efron DT, Lillemoe KD, Cameron JL, et al. Central pancreatectomy with pancreaticogastrostomy for benign pancreatic pathology. J Gastrointest Surg. 2004;8:532–538
  32. Mabrut JY, Fernandez-Cruz L, Azagra JS, et al. Laparoscopic pancreatic resection: results of a multicenter European study of 127 patients. Surgery. 2005;137:597–605
  33. Sa Cunha A, Beau C, Rault A, et al. Laparoscopic versus open approach for solitary insulinoma. Surg Endosc. 2007;21:103–108

PII: S0002-9610(08)00533-3

doi: 10.1016/j.amjsurg.2008.03.005

The American Journal of Surgery
Volume 197, Issue 6 , Pages 715-720 , June 2009

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