alexa Treatment of Postoperative Pancreatic Fistula Following
ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
Open Access

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Research Article

Treatment of Postoperative Pancreatic Fistula Following Pancreatic Resection

Filip Cecka1*, Bohumil Jon1, P Vladimír Blaha2, Zdenek Subrt1,3 and Alexander Ferko1

1Department of Surgery, Medical Faculty and University Hospital Hradec Králové, Czech Republic

2Third Department of Internal Medicine, Medical Faculty and University Hospital Hradec Králové, Czech Republic

3Department of Field Surgery, Military Health Science Faculty Hradec Králové, Defence University Brno, Czech Republic

*Corresponding Author:
Filip Cecka, MD PhD
Department of Surgery
Faculty of Medicine and University Hospital
Hradec Králové, Sokolská 581
500 05 Hradec Králové
Czech Republic
Tel: ++420-737-163931
Fax: ++420-495-832026
E-mail: [email protected]

Received date: July 21, 2015 Accepted date: August 10, 2015 Published date: August 17, 2015

Citation:Cecka F, Jon B, Blaha PV, Subrt Z, Ferko A (2015) Treatment of Postoperative Pancreatic Fistula Following Pancreatic Resection. J Gastrointest Dig Syst 5: 320. doi:10.4172/2161-069X.1000320

Copyright: ©2015 Cecka F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License; which permits unrestricted use; distribution; and reproduction in any medium; provided the original author and source are credited

 

Abstract

Objective: Pancreatic resection is the only potentially curative modality in patients with carcinoma of the pancreas and periampullary region. Morbidity associated with pancreatic resections remains high with the most common cause of complications being pancreatic fistula (PF). PF occurs not only after pancreatic resections, it can develop after pancreatic trauma and acute or chronic pancreatitis as well. As the PF occurring after pancreatic resection may have different course than in other causes, the management is also different. The aim of this study was to evaluate our own results of pancreatic resections with focus on the treatment of PF. Methods: Hospital records from patients who underwent pancreatic resection from January 2010 through December 2012 were identified from our prospectively entered pancreatic surgery database. The postoperative management was standardized for all patients. Outputs from all drains were recorded daily. The amylase concentration was measured on postoperative day 3. If the amylase concentration was above three times the normal serum value, the drain was kept in place and the measurement was repeated every other day. Postoperative complications and their treatment were recorded into our database.

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