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  • Title: Endoscopic treatment of wirsungo-cysto-pleural fistula.
    Author: Hastier P, Rouquier P, Buckley M, Simler JM, Dumas R, Delmont JP.
    Journal: Eur J Gastroenterol Hepatol; 1998 Jun; 10(6):527-9. PubMed ID: 9855072.
    Abstract:
    A case is reported of a female with chronic alcoholic calcifying pancreatitis who presented with a wirsungo-cysto-pleural fistula. Endoscopic retrograde pancreatography demonstrated the fistulous tract and a naso-pancreatic drain was inserted. Subsequently, this drain was replaced by a pancreatic endoprosthesis. This endoscopic therapy led to full resolution of the fistula. We suggest that endoscopic intervention is the first-line treatment for this condition and that surgical intervention should be reserved as a second-line treatment.
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