Intestinal fistula complicating necrotizing pancreatitis

Fistulization in the GI tract in acute pancreatitis

“…The site of the bowel involved also affects decision making. 8 Doberneck 8 had reported that one third of pancreatojejunal and three fourths of pancreatoduodenal fistulae healed with conservative management, whereas all of the co- lonic fistulae required surgery. Others also advocate surgery for colonic fistulae, which have the worst outcome, possibly because of infection.…”

A Surgical Treatment of Infected Pancreatic Necrosis: Retroperitoneal Laparotomy

“…It has been argued that the high mortality rate of infected necrotic pancreatitis was mainly caused by inadequate surgical debridement [16, 17, 18]. Reoperation was required in about 40% of the patients who underwent laparotomy [19]. The RPA of the pancreas has been described previously by 2 groups of authors.…”

Spontaneous Resolution of Pancreatic Gastric Fistula

“…When the pseudocyst resolves as a result of fistula formation, the patient does not require surgery. When a patient develops hematochezia, this may imply that the fistula exists near the large intestine, whereas hematemesis may imply that it exists near the stomach or duodenal wall [4,5]. The locations in the gastrointestinal tract most vulnerable to fistula formation, in patients with Fig.…”

“…The locations in the gastrointestinal tract most vulnerable to fistula formation, in patients with Fig. 7 Two-year follow-up EGD reveals that the orifice of the fistula (white arrow) is healed, with mild fibrotic change at the posterior wall of the lower body pancreatitis, are the transverse colon and splenic flexure [6][7][8][9][10], followed by the duodenum; however, the small intestine, stomach, and esophagus are uncommon locations [2,4,5]. Fistulas that have formed between the large intestine have a high risk of infection and rarely close spontaneously.…”