2019 Volume 34 Issue 4 Pages 128-137
Postoperative pancreatic fistulae (POPF) may cause intra-abdominal abscesses or bleeding. Several studies have reported risk factors associated with POPF, which may be useful to determine the indications for pancreatectomy. Several operative procedures, including pancreatico-gastrostomy, mattress suture, and insertion of a pancreatic stent, have been reported to reduce the rate of POPF. However, the rate of POPF remains high. Therefore, we need to develop new operative procedures to avoid POPF. Due to improved postoperative care, the mortality rate related to POPF has decreased. We should pay attention to pancreatic fistulae after pancreatectomy, especially in high-risk patients, to diagnose and treat this condition earlier.