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Home > West Medicine > Surgery > General Surgery
K86.810

Pancreatic Fistula

普外科

Common symptoms

呼吸急促、烦躁不安、腹痛、低钙血症、囊肿、代谢性酸中毒、脓肿、腹膜炎

The pathology of disease

Pancreatic fistula is abnormal drainage of pancreatic juice (postoperative/post-traumatic/inflammatory), presenting with drainage of amylase-rich fluid. Treatment: drainage of associated collection; somatostatin analogs (octreotide); NPO/nutrition (enteral/TPN); skin protection; ERCP with pancreatic stent to decompress duct; surgical revision if refractory/persistent; antibiotics if infected; monitor for electrolyte/nutrition losses/sepsis; follow-up imaging.

Common Symptoms

Amylase-rich drainage; postop/trauma/inflammatory

Causes and Pathogenesis

Pancreatic duct disruption causes juice leakage to skin/other tract.

Treatment

Drainage; octreotide; nutrition; ERCP/stent; surgery if refractory

Preventive Measures

Careful pancreatic surgery; early duct management.

Department to Visit

It is recommended to visit the Hepatobiliary-surgery/Gastroenterology/Interventional-radiology department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.