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Anatomy G.I.T c22ada57

All are true about pancreatic fistula in chronic pancreatitis except

A
Most cases resolve spontaneously by Conservative treatment
B
Somatostatin is effective in fistula closure
C
In prevention of fistula, adherence to standardised and meticulous technique is more impoant than the pancreatic texture or the type of anastomosis used
D
Early intervention is required if associated with hemorrhage or sepsis
High-Yield Explanation
Trials have demonstrated the benifit of prophylactic octreotide in the prevention of pancreatic fistula; however the role of octreotide, once fistula is established remains unclear. In such situations, the octreotide administration is continued for upto 2 weeks, while in those who donot seem to respond, it is discontinued Ref: Blumga 5th edition Pgno :965

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