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Pancreatic Disorders & Therapy | ISSN: 2165-7092 | Volume 8
Hepatobiliary & Pancreatic Disorders
3
rd
International Conference on
September 17-18, 2018 | Philadelphia, USA
Management of pancreatico pleural fistula through minimally invasive approach: A case report
Biswajit Deuri, Ganesh Das, Amitava Goswami, Pinku Sharma, Amitava Ghosh
and
Prasanta Gogoi
Ayursundra Superspecialty Hospital, India
T
he pancreaticopleural fistula is a rare complication of chronic pancreatitis. Patients usually present with respiratory discomfort
symptoms. Therefore, diagnosis requires a high index of clinical suspicion in patients with chronic pancreatitis and present with
recurrent pleural effusion. Analysis of pleural fluid for raised amylase will confirm the diagnosis and investigations like Computerised
Tomography(CT), Endoscopic retrograde cholangiopancreatography (ERCP) or magnetic resonance cholangiopancreatography
(MRCP) may establish the fistulous communication between the pancreas and pleural cavity. The optimal treatment strategy has
traditionally been medical management with exocrine suppression with octreotide and ERCP stenting of the fistulous pancreatic
duct. Operative therapy considered in the event patient fails to respond to conservative management.
amitavagoswami77@gmail.comPancreat Disord Ther 2018, Volume 8
DOI: 10.4172/2165-7092-C1-012