Gage Earl A, Jones Geoffrey E, Powelson John A, Johnson Matthew S, Goggins William C, Fridell Jonathan A
Department of Surgery, Indiana University School of Medicine, Indianapolis, IN 46202, USA.
Transplantation. 2006 Nov 15;82(9):1238-40. doi: 10.1097/01.tp.0000228240.78290.28.
Complications involving the enteric anastomosis site, including intra-abdominal abscess and enterocutaneous fistula formation, have been well documented following pancreas transplantation. Although uncommon, these complications remain particularly difficult to manage and frequently mandate surgical re-exploration. In this manuscript, we will review three cases of enterocutaneous fistula in pancreas transplant recipients managed nonoperatively with percutaneous drainage and subsequent occlusion of the tract with fibrin sealant.