Treatment of pancreatic fistula after cephalic duodenopancreatectomy

Héctor J.-G.; Félix M.-G.; Romel C.-V.; Adelmo P.-B. · Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo (2025) · DOI: 10.35434/rcmhnaaa.2025.183.2749

Resumen

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 others. 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.