Pancreatic duct-portal vein fistula

Willis, Sean; Brewer, Thomas G.

doi:10.1016/0016-5085(89)91514-x

Cited by 39 publications

(20 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Internal fistulae also include pancreato-duodenal fistula [92](caused by a peptic ulcer or necrotising pancreatitis), pancreato-biliary fistula [93, 94], pancreato-enteric fistulae [95, 96, 97](caused by necrotising pancreatitis) and extremely rarely pancreato-portal fistula [98, 99](due to chronic pancreatitis or tumour).…”

Section: Internal Pancreatic Fistulae and Pancreatic Ascitesmentioning

confidence: 99%

Surgical Treatment of Pancreatic Fistula

Alexakis¹,

Sutton²,

Neoptolemos³

2004

Dig Surg

102

View full text Add to dashboard Cite

Background: Pancreatic fistula remains a significant problem in pancreatic disease, trauma and surgery. Whilst improved diagnostic and treatment techniques, including endoscopic approaches, have resulted in considerably improved outcomes, surgical intervention remains an important aspect of treatment but has been relatively poorly documented. Aims: The aims were to review the recent world literature on the relative incidence of pancreatic fistula and the results of surgical treatment. Results: The pancreatic fistula rate following partial pancreato-duodenectomy was 421 (12.9%) in 3,268 patients in 13 large series; 80 (13.0%) in 671 patients after left pancreatectomy in 6 large series, and 28 (11.9%) in 243 patients after pancreatic trauma in 4 recent series. The success rate of surgical procedures for external pancreatic fistulae was 101 (90.2%) in 112 patients with an overall mortality of 7 (6.3%) reported in 9 series. For internal pancreatic fistulae the success rate of surgical treatment was 61 (92%) in 66 patients with an overall mortality of 6 (9%) reported in 7 series. Conclusions: The treatment of established pancreatic fistula remains challenging. Although surgical treatment is reserved for patients who have failed all other treatments, the success rate is 90–92% but with a mortality of 6–9%.

show abstract

Section: Internal Pancreatic Fistulae and Pancreatic Ascitesmentioning

confidence: 99%

Surgical Treatment of Pancreatic Fistula

Alexakis¹,

Sutton²,

Neoptolemos³

2004

Dig Surg

102

View full text Add to dashboard Cite

show abstract

“…Fistulas involving the portal venous system and gastrointestinal (GI) tract rarely occur but have been reported in the literature for the gallbladder [1, 2], bile duct [3, 4, 5, 6, 7], pancreas [8, 9, 10, 11, 12, 13], small intestine [14, 15, 16, 17, 18], and colon [19, 20, 21]. Of these cases, only 2 represented fistulous communications specifically involving the main portal vein and duodenum [14, 18]and only one such case involved a fistula isolated solely to these 2 structures [18].…”

Section: Introductionmentioning

confidence: 99%

Fistula Involving Portal Vein and Duodenum at the Site of a Duodenal Ulcer in a Patient after Previous Extrahepatic Bile Duct Resection and Brachytherapy

Povoski

Shammaʼa²

2003

Dig Surg

View full text Add to dashboard Cite

Fistulas involving the portal venous system and gastrointestinal (GI) tract are rare. However, they can cause life-threatening GI hemorrhage. A case of a fistula between the main portal vein and the posterior wall of the duodenal bulb at the site of a duodenal ulcer in a patient who had previously undergone an extrahepatic bile duct resection and brachytherapy for mucinous cystadenocarcinoma is reported. Consideration should be given to this entity in the differential diagnosis of GI hemorrhage in patients with a history of previous major biliary surgery.

show abstract

“…Diagnostic confirmation of the fistula cannot be achieved by angiography because the portal tree is excluded from the systemic circulation because of its cystic transformation. Endoscopic retrograde cholangiopancreatography can demonstrate the fistula if the latter directly involves the pancreatic duct [98]. Whenever the fistula is induced by a pseudocyst, ERCP may not be diagnostic.…”

Section: Diagnosis and Management Of Venous Complicationsmentioning

confidence: 97%

Non-traumatic abdominal emergencies: imaging and intervention in acute pancreatic conditions

et al. 2002

View full text Add to dashboard Cite

Pancreatic emergency, unrelated to traumatic events, can occur as a consequence of the more significant pancreatic pathologies (acute and chronic pancreatitis, tumors) or of the interventional or surgical treatment carried out as therapy for the above-mentioned lesions. Acute pancreatic conditions are represented by pancreatic infections, the involvement of organs, structures, and adjacent spaces within the pancreatic disease, and, lastly, vascular complications. Acute pancreatic conditions are common in pancreatic diseases and can be catastrophic; even if there is a gamut in the severity of clinical presentation, each can be potentially life threatening. Immediate radiological detection of the lesions together with a correct therapeutic percutaneous radiological approach whenever an interventional procedure is preferable to surgery or, when performed before surgery, whenever it can optimize its results, is of fundamental importance in the management of these patients. This article focuses on the essential role of radiology and the integration of imaging and intervention in acute pancreatic conditions.

show abstract

Pancreatic duct-portal vein fistula

Cited by 39 publications

References 13 publications

Surgical Treatment of Pancreatic Fistula

Surgical Treatment of Pancreatic Fistula

Fistula Involving Portal Vein and Duodenum at the Site of a Duodenal Ulcer in a Patient after Previous Extrahepatic Bile Duct Resection and Brachytherapy

Non-traumatic abdominal emergencies: imaging and intervention in acute pancreatic conditions

Contact Info

Product

Resources

About