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BOOK SUMMARY :

An external pancreatic fistula is one that communicates with the skin and is also known as a pancreaticocutaneous fistula whereas an internal pancreatic fistula communicates with other internal organs or spaces pancreatic fistulas can be caused by pancreatic disease trauma or surgerythis topic will review the management of pancreatic fistulas the clinical features diagnosis and prevention of pancreatic fistulas and the management of walled off pancreatic fluid collections infected pancreatic necrosis and pancreatic trauma are discussed separatelydisruptions of the main pancreatic duct smaller ducts or pancreatic parenchyma cause external or internal pancreatic fistulas a pancreatico cutaneous fistula results when the exocrine secretions leak through a drain site or a wound if the secretions extravasate within the pancreatic parenchyma or the peri pancreatic tissues and are walled off by the inflammatory process a pseudocyst occursbackground postoperative pancreatic fistula is a major contributor to complications and death associated with pancreatic resection pasireotide a somatostatin analogue that has a longer half life what is the recommended management for a pancreatic fistula that develops after pancreatic necrosectomy from the drain site the output is less than 500 ml pancreatic fistulae are the bane of

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