Treatment of pancreatic fistula after cephalic duodenopancreatectomy

• Autores: Juárez-Granda, Héctor, Mundaca-Guerra, Félix, Castañeda-Vásquez, Romel, Pintado-Baique, Adelmo
• Formato: artículo
• Fecha de Publicación: 2025
• Institución: Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Repositorio: Revista del Cuerpo Médico Hospital Nacional Almanzor Aguinaga Asenjo
• Lenguaje: español
• OAI Identifier: oai:cmhnaaa_ojs_cmhnaaa.cmhnaaa.org.pe:article/2749
• Enlace del recurso: https://cmhnaaa.org.pe/ojs/index.php/rcmhnaaa/article/view/2749
• Nivel de acceso: acceso abierto
• Materia: Fístula pancreática posoperatoria; Duodenopancreatectomía cefálica; Wirsungostomía; Tratamiento; Perú; Postoperative pancreatic fistula; Cephalic pancreaduodenectomy; Wirsungostomy; Treatment; Peru

Postoperative pancreatic fistula (POPF) is the most common complication after cephalic pancreatoduodenectomy (CPD) and occurs in 3 to 45% of cases. It is associated with morbid sequelae including intra-abdominal sepsis, hemorrhage, among other. Which carries a high mortality up to 40%. Surgery is the best option in severe cases. Different surgical procedures have been tried for its treatment with different results. We present the case of a 60-year-old male patient who presented POPF after CPD and a wirsungostomy was performed as a bridge surgery until a pancreatogastro anastomosis was performed as definitive treatment.