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Surgery Pancreas 67088b05

All are true about pancreatic fistula except:

A
Occasionally results in resolution of pseudocyst
B
Fistula may be associated with severe bleeding
C
Management depends upon GI organ involved
D
They will never erode into duodenum
High-Yield Explanation
Ans. (d) They will nerve erode into duodenumRef: Sabiston 19/e p 1525; Schwartz 9/ep 1204Fistula from Pancreatic duct:* Pseudo cyst can erode into the small intestine, Duodenum, Stomach, Bile duct or Splenic flexure can form Fistula.* Rarely it results in resolution of fistula and healing of the tract.* Most of the time it will result in sepsis, bleeding and may need surgical intervention.

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