Management of low-output pancreatic fistulas with fibrin glue - 25/08/11
, Robert C McIntyre, M.D. b, Stephen Johnson, M.D. c, Gregory V Stiegmann, M.D. bAbstract |
Background |
Despite advances in surgical, endoscopic, and percutaneous therapeutic techniques, pancreatic fistulas remain a source of significant morbidity and long-term patient discomfort. The intraoperative use of fibrin sealant has been used prophylactically to prevent formation of fistula. We recognized the potential use of fibrin glue as a therapeutic modality for successful resolution of low-output pancreatic fistulas.
Methods |
Three patients with low (<20 ml per day) output pancreatic fistulas underwent fluoroscopically directed injection of fibrin glue along their fistula tract.
Results |
All 3 patients underwent successful fibrin glue injection without procedural complication. All fistula output stopped, and the 3 patients remained asymptomatic at 1 year.
Conclusions |
Fibrin glue inserted with image-guided catheter delivery systems may be a useful option in selected patients with low-output pancreatic fistulas.
Le texte complet de cet article est disponible en PDF.Keywords : Pancreatic fistulas, Pancreas, Fibrin glue
Plan
Vol 188 - N° 1
P. 89-91 - juillet 2004 Retour au numéro
Article précédent
- A novel technique for the repair of lumbar hernias after iliac crest bone harvest
- Lane C Patten, Samir S Awad, David H Berger, Shawn P Fagan
- Intraoperative needle localization during neck reexploration
- Pamela Zimmerman, Monica DaSilva, Roberto Izquierdo, Lisa Cico, Kara Kort, Patricia Numann
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?