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. 2011 Nov 14;17(42):4696–4703. doi: 10.3748/wjg.v17.i42.4696

Table 4.

The results of primary endoscopic intervention in pancreaticopleural fistulas

Case 1 Case 2 Case 3 Case 4 Case 5 Case 6 Case 7 Case 8
Location of fistula Tail Body Body Body/tail Tail Body/tail Body Body/tail
ERCP Dilated proximal PD, blockage of PD in the head due to intraductal stones Ductal stricture and leak in the body Cannulation not possible No ductal stricture, leak in the tail Normal proximal PD, blockage of PD in the body No ductal stricture, leak in the body/tail Ductal stricture in the body, leak within the stenotic duct No ductal stricture, two leaks in the body/tail
ERCP Failure (ductal blockage) Failure (ductal stricture could not be dilated, stent not reached the stenosis and leak) Failure (ampulla cannulation not possible) Failure (stent not reached the site of leak, early stent migration) Failure (ductal blockage precluding stenting) Successful (stent bridging the site of leak) Failure (ductal stricture could not be dilated, stent inserted up to the stricture) Failure (stent bridging the site of one leak, but could not reach the site of the second leak)
Post-ERCP complications - Pleural empyema, infected peripancreatic fluid collection - Pleural empyema, pancreatitis flare-up - - Pleural empyema, pneumonia, pancreatico-bronchial fistula, infected peripancreatic fluid collection -
Post-ERCP treatment Surgery Surgery Surgery Conservative Conservative Conservative Surgery Percutaneous drainage of peripancreatic fluid collection
Time to fistula closure (d) 30 25 28 11 24 17 26 34

PD: Pancreatic duct; ERCP: Endoscopic retrograde cholangiopancreatography.