Enteric Drainage of Pancreatic Fistulas with Onlay Roux-en-Y Limb

Most pancreatic fistulae will resolve with conservative measures, including improving pancreatic duct drainage through the ampulla, nutritional support, and somatostatin analogues. When pancreatic fistulae result from pancreatic ductal disruption, and pancreatic secretions are produced in a portion of the pancreas that is no longer in continuity with the gastrointestinal (GI) tract, however, operative intervention is indicated.