Report of three cases of chronic pancreatic fistulas treated with prolamine as a sclerosing substance following pancreatic resection

JOP. 2006 Jan 11;7(1):41-6.

Abstract

Context: Pancreatic fistulas are one of the most common and important complications after pancreatic resection and their consequences are a life-threatening event. Thus, they must be treated in the best way and resolved as soon as possible to avoid their morbidity.

Methods: Three cases of pancreatic fistula following pancreatic resection were reported. They were treated with percutaneous embolization using a sclerosing substance, prolamine, injected into the Wirsung duct via drainage catheter.

Results: No complications of the technique were revealed and closure of the pancreatic fistula was obtained shortly thereafter.

Conclusions: The technique is safe and simple and can be repeated several times. It allows good results without complications. Finally, it avoids additional surgery allowing a shorter recovery time and a lower risk of morbidity.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Chronic Disease
  • Drainage / methods
  • Female
  • Follow-Up Studies
  • Humans
  • Injections
  • Male
  • Middle Aged
  • Pancreas / diagnostic imaging
  • Pancreas / pathology
  • Pancreas / surgery*
  • Pancreatic Ducts / diagnostic imaging
  • Pancreatic Ducts / pathology
  • Pancreatic Fistula / diagnosis*
  • Pancreatic Fistula / drug therapy*
  • Pancreatic Fistula / etiology
  • Pancreatic Neoplasms / complications
  • Pancreatic Neoplasms / surgery
  • Phenylpropanolamine / administration & dosage
  • Phenylpropanolamine / therapeutic use*
  • Sclerosing Solutions / administration & dosage
  • Sclerosing Solutions / therapeutic use*
  • Tomography, X-Ray Computed

Substances

  • Sclerosing Solutions
  • Phenylpropanolamine