Abstract:

High risk factors and managements of pancreatic fistula after acute pancreatitis        SUN Bei，LI Le. Department of Hepatobiliary and Pancreatic Surgery，the First Affiliated Hospital，Harbin Medical University，Harbin 150001，China
Corresponding author: SUN Bei，E-mail: sunbei70@tom.com
Abstract    Pancreatic fistula is the most common complication after acute pancreatitis and the clinical manifestations are highly variable. Pancreatic fistula is best managed by a multidisciplinary team comprised of endoscopists，interventional radiologists and surgeons in the field of acute pancreatitis therapy. Minimally invasive oriented and damage control surgery modeled therapeutic concepts leads clinicians to solve the followed complications by conservative treatments and endoscopic treatments. Surgical interventions should be processed only when all the procedures above failed. 

Key words: acute pancreatitis, pancreatic fistula, pancreatic pseudocyst, disconnected duct syndrome, external pancreatic leakage

摘要：

胰瘘是急性胰腺炎最常见的并发症，病人常表现出不同的临床症状。对于胰瘘的治疗，建议通过多学科协作，由内镜科、介入科和外科医师组成治疗团队，以微创治疗策略为导向，以损伤控制外科理念为原则，通过非手术治疗、内镜及介入治疗等尽最大可能解决并发胰瘘带来的后续问题，但当以上方法无效时，外科手术则成为解决问题的最终途经。

关键词: 急性胰腺炎, 胰瘘, 胰腺假性囊肿, 胰管不连续综合征, 胰外漏