Endoscopic drainage of postoperative pancreatic leaks: A great idea!

Every pancreatic surgeon should read this article by this group of talented interventional gastroenterologists from 3 university centers in Germany. Why? Because all of us pancreatic surgeons (at least those of us who are honest) have observed pancreatic leaks, and these leaks can be very difficult to manage. Having been on the surgical staff at Mayo Clinic Rochester for 30 years, I have had the privilege of working in a truly multidisciplinary environment with unbelievably gifted interventional gastroenterologists (like Todd Baron, who was one of the pioneers in the late 1990s in this aggressive endoscopic management of pancreatic collections), complemented by similarly gifted interventional radiologists, who would manipulate our operatively placed, peripancreatic drains into adjacent, inappropriately or undrained, peripancreatic collections after a pancreatectomy.

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