
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Pancreatic fistula epidemiology and demographics
Introduction
Overview
Overview
The incidence of pancreatic fistula following pancreatic resection surgery varies from 5% to 26%. The overall mortality risk due to pancreatic fistula is 1%, however patients with grade C pancreatic fistula carries a mortality risk of 25%.
Epidemiology and Demographics
Epidemiology and Demographics
Incidence
- Pancreatic fistula is a known complication following surgical resection of the pancreas.
- The incidence rate varies from as low as 5% in high volume centers to as high as 26%.[1]
- The incidence of pancreatic fistula varies depending on the type of pancreatic resection as it can be as low as 3% following a pancreatic head resection to as high as 30% after distal pancreatectomy.[2][3]
- Acute fluid collection is recorded in up to 40% patients with acute pancreatitis, out of which some cases develops true pancreatic fistula depending upon the severity of the insult.[4]
Mortality rate
- Pancreatic fistula can lead to certain severe complications if not addressed on time, as it carries a mortality risk of 25% in patients with grade C pancreatic fistula.
- Post-operative pancreatic fistulae can affect 13% to 41% of patients after pancreatic resection, making it a known source of morbidity and mortality.
References
References
- β Reddymasu SC, Pakseresht K, Moloney B, Alsop B, Oropezia-Vail M, Olyaee M (2013). “Incidence of pancreatic fistula after distal pancreatectomy and efficacy of endoscopic therapy for its management: results from a tertiary care center”. Case Rep Gastroenterol. 7 (2): 332β9. doi:10.1159/000354136. PMCΒ 3764947. PMIDΒ 24019766.
- β Nahm CB, Connor SJ, Samra JS, Mittal A (2018). “Postoperative pancreatic fistula: a review of traditional and emerging concepts”. Clin Exp Gastroenterol. 11: 105β118. doi:10.2147/CEG.S120217. PMCΒ 5858541. PMIDΒ 29588609.
- β Hackert T, Werner J, BΓΌchler MW (2011). “Postoperative pancreatic fistula”. Surgeon. 9 (4): 211β7. doi:10.1016/j.surge.2010.10.011. PMIDΒ 21672661.
- β Larsen M, Kozarek R (2014). “Management of pancreatic ductal leaks and fistulae”. J Gastroenterol Hepatol. 29 (7): 1360β70. doi:10.1111/jgh.12574. PMIDΒ 24650171.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
