Persisting cutaneous pancreatic fistula in a patient with necrotizing pancreatitis: a novel approach of transfistulous histoacryl occlusion
- Necrotizing pancreatitis with superinfection of necrotic tissue is associated with a high rate of complications and mortality. The step-up approach is a well-established treatment strategy for necrotizing pancreatitis, emphasizing minimally invasive and endoscopic interventions before considering surgical options. Minimally invasive strategies often involve percutaneous drainage of collections, which carries the risk of persisting cutaneous pancreatic fistulas. Since there is currently no guidance for managing this scenario, we present a novel treatment approach that utilized tissue glue to occlude a persisting and clinically compromising percutaneous fistula. In addition, we summarize the current knowledge in the treatment of percutaneous pancreatic fistulas and provide a potential therapeutic algorithm for further evaluation.
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| Author: | Julian Cardinal von WiddernORCiD, Franz StanglORCiDGND, Walter A. Wohlgemuth, Richard Brill, Jörg Kleeff, Jonas Rosendahl |
|---|---|
| URN: | urn:nbn:de:bvb:384-opus4-1196480 |
| Frontdoor URL | https://opus.bibliothek.uni-augsburg.de/opus4/119648 |
| ISSN: | 2326-3253OPAC |
| Parent Title (English): | ACG Case Reports Journal |
| Publisher: | Ovid Technologies (Wolters Kluwer Health) |
| Type: | Article |
| Language: | English |
| Year of first Publication: | 2024 |
| Publishing Institution: | Universität Augsburg |
| Release Date: | 2025/03/18 |
| Volume: | 11 |
| Issue: | 8 |
| First Page: | e01456 |
| DOI: | https://doi.org/10.14309/crj.0000000000001456 |
| Institutes: | Medizinische Fakultät |
| Medizinische Fakultät / Universitätsklinikum | |
| Medizinische Fakultät / Lehrstuhl für Diagnostische und Interventionelle Neuroradiologie | |
| Dewey Decimal Classification: | 6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit |
| Licence (German): |  CC-BY 4.0: Creative Commons: Namensnennung (mit Print on Demand) |
