Pancreatic Fistulas

1. Front Matter

   Pages I-XIII

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2. Functional Anatomy of the Pancreas: The Ductal System

   • D. E. Bockman

   Pages 1-9

3. Radiologic Imaging of Pancreatic Fistulas

   • G. F. Pistolesi, C. Procacci, E. Residori, E. Bicego, M. Bertocco, F. Moore et al.

   Pages 10-38

4. Pathophysiology of Pancreatic Secretion in Relation to Presence of External Pancreatic Fistulas

   • G. Cavallini, M. Filippini, P. Bovo

   Pages 39-60

5. Pancreatic Fistulas in Acute Pancreatitis

   • G. T. Sunderland, C. W. Imrie

   Pages 61-69

6. Pancreatic Fistulas in Chronic Pancreatitis

   • S. Vesentini

   Pages 70-74

7. Pancreatic Fistulas and Tumors of the Pancreas

   • C. F. Frey

   Pages 75-90

8. Pancreatic Fistulas in Pancreatic Transplantation

   • W.-D. Illner, H. Schneeberger, D. Abendroth, R. Landgraf, M. Gokel, W. Land

   Pages 91-99

9. Pancreatic Fistulas After Exclusion of the Residual Stump in Resections of the Pancreatic Head

   • G. La Guardia, F. Martin, P. L. Catalano, W. Thaler, G. P. Marzoli

   Pages 100-106

10. Internal Pancreatic Fistulas: Classification, Recognition, and Management

    • D. J. Cole, E. L. Bradley III

    Pages 107-120

11. Microbiological Aspects of Pancreatic Fistulas

    • C. Bassi

    Pages 121-128

12. Antibiotics Secretion into Pancreatic Fluid

    • N. Martini, S. Vesentini, C. Bassi, M. Falconi, R. Girelli, A. Messori et al.

    Pages 129-139

13. Artificial Nutrition in Pancreatic Fistulas

    • I. Vantini, C. Scattolini, A. Fioretta

    Pages 140-145

14. Drugs Inhibiting Exocrine Pancreatic Section

    • P. Pederzoli, M. Falconi, C. Bassi, L. Benetti, G. F. Briani

    Pages 146-154

15. Limitations of Conservative Therapy of Pancreatic Fistulas

    • F. Nifosi, M. Falconi, E. Montresor, S. Vesentini

    Pages 155-161

16. Pitfalls of Medical Treatment

    • M. Falconi, F. Nifosi, D. Lombardi, C. Bassi, R. Girelli

    Pages 162-166

17. The Use of Octreotide to Prevent Postoperative Complications After Major Pancreatic Resection

    • M. Büchler, H. Frieß, H. G. Beger

    Pages 167-175

18. Surgical Treatment of Pancreatic Fistulas: Rationale, Timing, and Techniques

    • J. Schmidt, D. W. Rattner, A. L. Warshaw

    Pages 176-194

19. Treatment of Pancreatic Fistulas in Outpatients

    • R. A. Prinz

    Pages 195-200

20. Use of Fibrin Sealant in the Treatment of Pancreatic Fistulas

    • V. Costantino, P. Petrin, C. Pasquali, G. Liessi, S. Pedrazzoli

    Pages 201-210

Introducing this monograph by expressing our heartfeIt thanks to all those who have contributed to its success may seem no more than a rhetorical exercise. However, at the same time we feel duty bound to add our sincere apologies, for we know that many of the dis­ tinguished authors of the various chapters have been hard put to find any relevant information in the existing literature. The plain fact is that very little has been said and written about pancreatic fistulas compared with other aspects of pancreatic disease. Why is this? Essentially, we believe there may be two main reasons: one practical explanation may be their relative rarity, while the other reas on is, as it were, "psychological", i. e. , pancreatic fistulas tend almost invariably to be regarded as complications of an imperfectly performed surgical procedure. However useful it might be if we were to do it more often, it goes against the grain to public1y admit one's own mistakes. Ever since I (P. P. ) started practising in medicine, it has been my destiny and privilege to work alongside Professor Dagradi, the pioneer ofpancreatic surgeryin Italy, and to assist him over the years in something like 2000 operations on the pancreatic gland. Clearly, then, any complication due or related to such surgery however rare, has become part and parcel of my practical day-to-day c1inical experience and scientific interests.

• Pancreatic Fistulas
• Surgery
• anatomy
• chronic pancreatitis
• imaging
• pancreas
• transplantation
• hepatology

• Department of Surgery, University of Verona Borgo Roma Hospital, Verona, Italy

  Paolo Pederzoli, Claudio Bassi, Sergio Vesentini

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