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Publication Type
Journal Article
Author, Analytic
Duncan, N. D. ; Ramphal, P. S. ; Dundas, S. E. ; Gandreti, N. K. ; Robinson-Bridgewater, L. A. ; Plummer, J. M.
Author Affiliation, Ana.
n/a
Article Title
Pancreaticopleural fistula: a rare thoracic complication of pancreatic duct disruption
Medium Designator
n/a
Connective Phrase
n/a
Journal Title
Journal of Pediatr Surgery
Translated Title
n/a
Reprint Status
n/a
Date of Publication
2006
Volume ID
41
Issue ID
3
Page(s)
580-2
Language
eng
Connective Phrase
n/a
Location/URL
n/a
ISSN
1531-5037 (Electronic)
Notes
n/a
Abstract
Pancreaticopleural fistula resulting in a chronic pleural effusion is a rare complication of pancreatic duct disruption. We describe the presentation and management of 2 children with pancreaticopleural fistulas. Pleural fluid amylase concentration and contrast computed tomography were sufficient to establish the diagnosis in both cases. The initial management of these fistulas should be conservative, by tube thoracostomy and suppression of pancreatic secretion. Operative treatment is necessary for those who fail to resolve. Complete diversion of the pancreatic juice into the gastrointestinal tract by longitudinal pancreaticojejunostomy has been an effective surgical option leading to fistula closure.....
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