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Preventing Pancreatic Fistula Following Distal Pancreatectomy

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Gastrointestinal Surgery

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Abstract

Pancreatic fistula is a common and highly morbid complication of distal pancreatectomy. Patient factors and technical factors appear to contribute to the incidence of postoperative pancreatic fistula (POPF). Numerous clinical trials and retrospective studies have investigated many of these with an aim toward identifying modifiable risk factors that could be controlled. Data on most of these risk factors remain relatively unconvincing. Careful surgical technique, ligation of the main duct, where technically feasible, and use of a mesh may be beneficial interventions. Octreotide and pancreatic duct stenting may have use in highly selected patient groups.

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Authors and Affiliations

  1. Department of Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, 02215, Boston, MA, USA

    Bharath D. Nath MD, PhD & Mark P. Callery MD, FACS

Authors
  1. Bharath D. Nath MD, PhD
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  2. Mark P. Callery MD, FACS
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Correspondence to Mark P. Callery MD, FACS .

Editor information

Editors and Affiliations

  1. Division of Surgical Oncology, Johns Hopkins Hospital, Baltimore, Maryland, USA

    Timothy M. Pawlik

  2. Division of Surgical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia, USA

    Shishir K. Maithel

  3. Professor of Surgery, Division of Surgical Oncology, University of Miami, Miller School of Medicine, Sylvester Comprehensive Cancer Center, Miami, Florida, USA

    Nipun B. Merchant

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Nath, B., Callery, M. (2015). Preventing Pancreatic Fistula Following Distal Pancreatectomy. In: Pawlik, T., Maithel, S., Merchant, N. (eds) Gastrointestinal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2223-9_30

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  • DOI: https://doi.org/10.1007/978-1-4939-2223-9_30

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-2222-2

  • Online ISBN: 978-1-4939-2223-9

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