Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. 2015 Jan;29(1):108-12.
doi: 10.1007/s00464-014-3645-0. Epub 2014 Jun 19.

Endoscopic transpapillary stenting for pancreatic fistulas after necrosectomy with necrotizing pancreatitis

Heikki Karjula  1 , Arto Saarela, Anne Vaarala, Jarmo Niemelä, Jyrki Mäkelä
Affiliations
Clinical Trial

Endoscopic transpapillary stenting for pancreatic fistulas after necrosectomy with necrotizing pancreatitis

Heikki Karjula et al. Surg Endosc. 2015 Jan.

Abstract

Background: Data concerning the incidence and treatment of pancreatic fistula after necrosectomy in severe acute necrotizing pancreatitis (SAP) are scarce. Our aim was to assess the incidence of pancreatic fistula, and the feasibility and results of endoscopic transpapillary stenting (ETS) in patients with SAP after necrosectomy.

Methods: From January 2009 to December 2012 twenty-nine consecutive patients with SAP and necrosectomy in Oulu University Hospital were enrolled into this study. Five patients died before ETS because of the rapid progress of the disease and were, therefore, excluded.

Results: ERP was performed for the remaining 24 patients demonstrating fistula in 22/24 patients (92 %). ETS was successful in 23 patients and the fistula closed in all of them after a median of 82 (2-210) days with acceptable morbidity and no procedure-related mortality.

Conclusion: All patients after necrosectomy for SAP seem to have internal or external pancreatic fistula. EST aimed at internal drainage of the necrosectomy cavity is a feasible and effective therapy in these patients.

PubMed Disclaimer

References

    1. Abdom Imaging. 2013 Feb;38(1):125-36 - PubMed
    1. Gastrointest Endosc. 1996 Sep;44(3):268-75 - PubMed
    1. Surg Endosc. 2005 Apr;19(4):559-62 - PubMed
    1. Gastrointest Endosc. 2002 Jul;56(1):18-24 - PubMed
    1. Surg Endosc. 2006 Nov;20(11):1706-12 - PubMed

Publication types

MeSH terms

LinkOut - more resources