在机体度过早期循环障碍、多脏器损伤阶段，防治感染与消化液腐蚀所造成的大出血、消化道瘘、营养不良以及由此导致的多器官功能障碍和迟发性腹腔间隔室综合征等并发症就成为胰腺炎治疗的关键。其中消化道瘘的防治重点在于感染、坏死组织处理，肠瘘部位的充分引流，尽可能早期恢复肠内营养，防止或减轻腹腔感染的发生或发展。

Evaluation and treatment of severe acute pancreatitis complicated with gastro intestinal fistulae        ZHAO Yun-zhao. General Surgery Institute, General Hospital of Nanjing district, PLA, Nanjing210002, China
Abstract    Despite advances in management of circulation dysfunction and MOD, Intestinal fistula, necrosis and sepsis are potentially lethal complications of severe acute pancreatitis that represents bleeding, sepsis, intestinal fistula, ACS and malnutrition. Intestinal fistulas are complications principal of severe acute pancreatitis and they present either as ongoing abdominal sepsis or abdominal bleeding. The main point of fistula treatment is dominating sepsis, evacuation of pus and surgical necrosectomy, external drainage of intestinal fluid and nutrition support (feeding jejunostomy).