Pancreatic Fistula
What is Pancreatic Fistula?
A pancreatic fistula is an abnormal leak of pancreatic fluid, often after surgery or pancreatitis.
How Does It Happen?
After pancreas injury or surgery, the pancreatic duct may leak digestive enzymes into surrounding tissue.
Symptoms:
- Fluid collection around pancreas
- Abdominal pain
- Fever or infection
Diagnosis:
- Drain fluid amylase testing
- CT scan for collections
- MRCP or ERCP to map duct anatomy
Treatment:
- Medical: Drainage, antibiotics, nutritional support
- Endoscopic: ERCP with pancreatic stent
- Surgical: If persistent or complicated
Lifestyle:
- Adequate hydration and nutrition
- Avoid alcohol and smoking