Acute pancreatitis after pancreatectomy: Inside the dilemma pancreatitis-pancreatic fistula

The interesting paper by Ikenaga et  al about acute pancreatitis after pancreatic resections merits some patho-physiological observations.1 Besides pathogenic elements in common with other abdominal operations, we identify as a specific factor the acute postoperative stasis of pancreatic juice, leading to a subsequent acute pancreati tis. In case of distal pancreatectomy, and independently from the techniques of pancreatic stump sealing, this factor induces an acute pancreatitis in the area surrounding the section rim, possibly evolving into a diffuse pancreatitis or in a Wirsung duct fistula.
Source: Surgery - Category: Surgery Authors: Source Type: research