Pancreatic fistula history and 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 However, most cases are far more challenging which require imaging techniques and examination of the fluid samples withdrawn from the leak to help diagnose the fistula.[1]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
Patients diagnosed with pancreatic fistula are sometimes asymptomatic while some patients may have the following symptoms:[1]
- Marked recent weight loss
- Unresponsiveness of the ascites to diuretics
- Non-specific symptoms such as nausea, vomiting, hypotension, infection, and tachycardia
- Some patients with a high grade fistula may present with sepsis
References
- ↑ 1.0 1.1 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.