Percutaneous management of enterocutaneous fistulas.

D'Harcour, J B; Boverie, J; Dondelinger, R. F.

doi:10.2214/ajr.167.1.8659416

Cited by 26 publications

(16 citation statements)

References 12 publications

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“…In addition, the duration of drainage required for successful resolution reported herein (mean 31 days) is in agreement with reports in the literature [13,14]. In considering the success of percutaneous therapy in our series, it is important to note that fistulas were revealed by postdrainage contrast tube studies performed in part to assess for their presence; otherwise, many of these fistulas may have escaped detection [12].…”

Section: Discussionsupporting

confidence: 90%

Percutaneous Management of Abscess and Fistula Following Pancreaticoduodenectomy

AAssar

LaBerge

Gordon

et al. 1999

Cardiovasc Intervent Radiol

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Section: Discussionsupporting

confidence: 90%

Percutaneous Management of Abscess and Fistula Following Pancreaticoduodenectomy

AAssar

LaBerge

Gordon

et al. 1999

Cardiovasc Intervent Radiol

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“…In enterocutaneous fistulas of various origins, percutaneous catheter drainage had an overall success rate of 66.7 % in our experience [9]. In cutaneous pancreatic fistulas, best results were obtained in H-OF and in postoperative fistulas.…”

Section: Discussionmentioning

confidence: 55%

“…In seven of 12 patients in whom pancreatic duct catheterization failed, the fistula also communicated with the gastrointestinal tract; five of these patients had a postoperative fistula and two had a fistula secondary to acute pancreatitis. In these patients, an 8 Fr or 12 Fr biliary catheter was advanced in the intestinal lumen, according to our drainage technique of enterocutaneous fistulas [9]. In eight patients in whom percutaneous pancreatic duct catheterization succeeded, no internal pancreatic-intestinal fistula was observed.…”

Section: Methodsmentioning

confidence: 99%

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Percutaneous catheter drainage of external fistulas of the pancreatic ducts

1998

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The aim of this study was to describe catheterization techniques and report the results of percutaneous drainage of external pancreatic fistulas. Twenty patients with external pancreatic fistulas in whom medical therapy had failed, were referred for radiologically guided treatment. Fifteen patients had postoperative and five primary fistulas. Sixteen were high-output fistulas (H-OF) and four were low-output fistulas (L-OF). All patients were treated percutaneously. Percutaneous catheter drainage was successful in 16 of 20 patients (80 %). The fistula healed in 13 of 15 postoperative cases (86.6 %) and in three of five primary fistulas (60 %). Treatment was successful in 14 of 16 patients (87.5 %) with H-OF and in two of four patients with L-OF. Percutaneous catheterization of the pancreatic ducts was successful in eight of 20 patients (40 %); seven of these patients were cured. Catheterization was not achieved in 12 patients and treatment failed in three (25 %). Conservative treatment of external pancreatic fistulas with percutaneous catheter-directed drainage is thus a reasonable alternative to surgery, particularly in patients with H-OF.

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“…This has generally consisted of drainage of abdominal abscesses and placement of drainage tubes and catheters in fistulas. 2 D_Harcour et al 3 reported a series of 147 patients with enterocutaneous fistulas treated with percutaneous cathe- ter management. The purpose of radiologically guided catheter placement in fistulas is to create controlled fistulas.…”

Section: Discussionmentioning

confidence: 99%