Management of Post Necrosectomy Gastric Fistula by Nasogastric and Biliary Drainage with Transhepatic Distal Tube Feeding

Gastric fistula has been a relative common complication after bariatric surgery and surgery for necrotizing pancreatitis. Management of Upper GI fistula has changed over years and today a three phase approach which includes diagnosis and resuscitation with interval nutrition, drainage of collections and final definitive nutritional management with surgical correction, if required. Aggressive nutritional support to combat this catabolic state is most important for favorable outcome in these patients. Prolonged total parenteral nutrition has its known serious complications and naso gastric/jejunal feeds are also not always successful in patients with upperGI fistula. In such case we discuss here an alternative mode for distal feeding through transhepatic route which has shown acceptable results with fewer complications.


Yuktansh Pandey, Roshan Ghimire, Sreejith Sreekumar, Aarathi Vijayashanker, Shahnawa B, Abhishek Deo, Rajesh Dey, Shaleen Agarwal, Subhash Gupta

Abstract | Full-Text | PDF

Share this  Facebook  Twitter  LinkedIn  Google+
30+ Million Readerbase
Recommended Conferences
Google scholar citation report
Citations : 29233

JOP. Journal of the Pancreas received 29233 citations as per google scholar report

JOP. Journal of the Pancreas peer review process verified at publons
Abstracted/Indexed in
  • Academic Journals Database
  • Genamics JournalSeek
  • Academic Keys
  • China National Knowledge Infrastructure (CNKI)
  • CiteFactor
  • Scimago
  • British Library
  • Electronic Journals Library
  • Directory of Research Journal Indexing (DRJI)
  • WorldCat
  • Emerging Sources Citation Index (ESCI)
  • MIAR
  • International Committee of Medical Journal Editors (ICMJE)
  • University of Zurich - UZH
  • University Grants Commission
  • SWB Online-Katalog
  • Scholarsteer
  • Geneva Foundation for Medical Education and Research
  • Secret Search Engine Labs

View More »

Flyer image

rolex replica