Aldrighetti L, Castrucci M, Catena M, Salvioni M, Graci C, Del Maschio A, Ferla G
Dipartimento di Scienze e Tecnologie Biomediche, Università degli Studi-Milano.
Minerva Chir. 1996 Oct;51(10):839-48.
To assess the role of interventional radiology in the conservative treatment of postoperative pancreatic fistula.
A case of a high flow mixed entero-bilio-pancreatic fistula caused by dehiscence of pancreatic-jejunal anastomosis after duodenocephalopancreasectomy for endocrine neoplasm of the head of the pancreas,
General Surgery Division and Diagnostic Radiology.
Conservative treatment represents at the time being, due to the current possibilities in assisting critical patients and in controlling pancreatic secretory activity, the first choice in pancreatic fistula treatment. The effectiveness of this treatment depends on the severity of inflammatory disease of the pancreas. Clinical (Ranson, Glasgow, APACHE II) and radiological (Balthazar, Vernacchia) parameter evaluation is a critical step in therapeutic choice. Surgery should be used in patients with severe pancreatitis. Conservative treatment represents the first choice in stable and critical patients with mild pancreatitis.
评估介入放射学在术后胰瘘保守治疗中的作用。
1例因胰腺头部内分泌肿瘤行十二指肠胰头切除术后胰空肠吻合口裂开导致的高流量混合性肠胆胰瘘。
普通外科和诊断放射科。
鉴于目前在协助重症患者和控制胰腺分泌活动方面的可能性，保守治疗目前是胰瘘治疗的首选。这种治疗的有效性取决于胰腺炎症性疾病的严重程度。临床（兰森、格拉斯哥、急性生理与慢性健康状况评分系统II）和放射学（巴尔萨泽、韦尔纳基亚）参数评估是治疗选择的关键步骤。重症胰腺炎患者应采用手术治疗。保守治疗是轻症胰腺炎稳定和重症患者的首选。
