Pancreatic fistula history and symptoms: Difference between revisions
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==History== | ==History== | ||
A [[pancreatic]] [[fistula]] with leakage of fluid can be diagnosed in some cases with typical history and clinical presentation, such as patient presenting with [[pancreatitis]] followed by recurrence, persistent symptoms or post [[pancreatic]] [[resection]] fluid drainage with increase amylase level. However, most cases are far more challenging which require [[imaging]] techniques and examination of the fluid samples withdrawn from the leak to help diagnose the [[fistula]].<ref name="pmid24650171">{{cite journal| author=Larsen M, Kozarek R| title=Management of pancreatic ductal leaks and fistulae. | journal=J Gastroenterol Hepatol | year= 2014 | volume= 29 | issue= 7 | pages= 1360-70 | pmid=24650171 | doi=10.1111/jgh.12574 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=24650171 }} </ref> | |||
==Symptoms== | ==Symptoms== | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
History
A pancreatic fistula with leakage of fluid can be diagnosed in some cases with typical history and clinical presentation, such as patient presenting with pancreatitis followed by recurrence, persistent symptoms or post pancreatic resection fluid drainage with increase amylase level. However, most cases are far more challenging which require imaging techniques and examination of the fluid samples withdrawn from the leak to help diagnose the fistula.[1]
Symptoms
- Marked recent weight loss is a major clinical manifestation
- Unresponsiveness of the ascites to diuretics is an additional diagnostic clue.
References
- ↑ Larsen M, Kozarek R (2014). "Management of pancreatic ductal leaks and fistulae". J Gastroenterol Hepatol. 29 (7): 1360–70. doi:10.1111/jgh.12574. PMID 24650171.