[Treatment of pancreatic fistulas]

Persisting fistulae of the pancreas may develop after necrotomy or operation of abscesses or pseudocysts with drainage following pancreatitis. More rare causes are lesions of the glandula during operation in the upper abdomen or due to accidents. First of all conservative therapy is indicated. When spontaneous closure during two or three months will not take place, closure of the fistula by drainage of its origin into a jejunal loop (Roux) and for fistulas of the head of the pancreas the implantation in the duodenal stump after B II-resection is indicated.