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Comment & Response
January 2018

Nonoperative Management of Pancreatic Fistula: Why Not an Endoscopic Approach?

Author Affiliations
  • 1Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill
  • 2Digestive Disease Institute, Virginia Mason Medical Center, Seattle, Washington
JAMA Surg. 2018;153(1):94. doi:10.1001/jamasurg.2017.3381

To the Editor We read with interest the article in JAMA Surgery by Smits et al1 and accompanying Editorial by Rangelova et al2 on management of severe pancreatic fistula following pancreaticoduodenectomy. Although it is appreciated that percutaneous drainage is widely available as a nonoperative management strategy, we were quite surprised by the near complete omission of endoscopic therapy as a management strategy.

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