Fístula pancreaticopleural

Mota, Ricardo Duarte; Alcântara, Camila Oliveira; Antunes, Leandro Moreira; Jorge, Amanda Lacerda

doi:10.1590/s0102-67202011000300016

Cited by 3 publications

(2 citation statements)

References 9 publications

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“…3 In contrast, formation of pancreaticopleural fistula is a rare event occurring in less than 1% of all pancreatitis cases. 7,8 The fistula not only induces extensive intrapleural fluid collections but is also a dangerous port of entry for ascending infections. Superinfection of the fistulous tract eventually causing pleural empyema has been very infrequently observed since the 1950s.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] Formation of pancreaticopleural fistula is an extremely uncommon complication of either acute or chronic recurrent pancreatitis, which occurs in less than 1% of all cases. 7,8 The origin of the fistulous tract is the disrupted pancreatic duct itself or, more often, a ruptured pseudocyst. 7 Pleural effusions due to pancreaticopleural fistula are usually more spacious than sympathetic effusions and have a tendency toward quick reaccumulation following thoracentesis.…”

Section: Introductionmentioning

confidence: 99%

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Pancreaticopleural Fistula-Induced Empyema Thoracis: Principles and Results of Surgical Management

Schweigert

Renz

Dubecz

et al. 2013

Thorac cardiovasc Surg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Pancreaticopleural Fistula-Induced Empyema Thoracis: Principles and Results of Surgical Management

Schweigert

Renz

Dubecz

et al. 2013

Thorac cardiovasc Surg

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Length of Nonoperative Treatment and Risk of Pleural Empyema in the Management of Pancreatitis-induced Pancreaticopleural Fistula

Schweigert

Solymosi

Dubecz

et al. 2013

The American Surgeon™

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Pancreaticopleural fistula is a very uncommon complication of pancreatitis resulting from pancreatic duct disruption with leakage of pancreatic secretions into the pleural cavity. Initial conservative treatment fails in a significant number of cases. Ascending infection through the fistulous tract results in pleural empyema. The aim of this study is to investigate the relation between lengths of nonoperative management and risk of pleural empyema. The retrospective study includes our own experience as well as all case reports identified by a systematic review of the English literature from 1954 to 2012. Inclusion criteria were acute or chronic pancreatitis, whereas tumorous fistulization or complications of pancreatic surgery were kept out. A total of 113 patients were identified. There were 86 men and 27 women. The mean age was 46.5 years and 78 patients had a history of alcoholism. The mortality rate was 1.8 per cent (two of 113). Non-operative management including interventional therapy and endoscopic stenting was successful in only 40 cases (36%), whereas 73 patients (64%) finally underwent surgery. The most common procedure was distal pancreatectomy (32 of 73). Pleural empyema occurred in 17 cases. Successful nonoperative management had a mean length of 5.5 weeks, whereas surgery was performed after an average of 10.9 weeks of failed conservative efforts. Initial nonoperative therapy was significantly longer in patients eventually sustaining empyema (17 weeks, P < 0.001) and all needed surgical intervention. Prolonged nonoperative treatment is associated with a noteworthy risk of septic complications such as pleural empyema. Further improvement seems achievable by reducing the time gap between fruitless conservative efforts and surgical intervention.

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Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

Cazzo

Apodaca-Rueda

Chaim

et al. 2017

ABCD, arq. bras. cir. dig.

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Introduction:Pancreaticopleural fistula is a rare complication of chronic pancreatitis. Objective:To describe pancreaticopleural fistula due to chronic pancreatitis and perform an extensive review of literature on this topic. Methods:Comprehensive narrative review through online research on the databases Medline and Lilacs for articles published over the last 20 years. There were 22 case reports and four case series selected. Results:The main indication for surgical treatment is the failure of clinical and/or endoscopic treatments. Surgery is based on internal pancreatic drainage, especially by means of pancreaticojejunostomy, and/or pancreatic resections. Conclusion:Pancreaticopleural fistula is a rare complication of chronic pancreatitis and the Frey procedure may be an appropriate therapeutic option in selected cases when clinical and endoscopic treatments are unsuccessful.

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Fístula pancreaticopleural

Cited by 3 publications

References 9 publications

Pancreaticopleural Fistula-Induced Empyema Thoracis: Principles and Results of Surgical Management

Pancreaticopleural Fistula-Induced Empyema Thoracis: Principles and Results of Surgical Management

Length of Nonoperative Treatment and Risk of Pleural Empyema in the Management of Pancreatitis-induced Pancreaticopleural Fistula

Management of Pancreaticopleural Fistulas Secondary to Chronic Pancreatitis

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