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).