TY - JOUR AU - Lillemoe, Keith D. AB - ORIGINAL ARTICLES Fatty Pancreas A Factor in Postoperative Pancreatic Fistula Abhishek Mathur, MD, Henry A. Pitt, MD, Megan Marine, MD, Romil Saxena, MD, C. Max Schmidt, MD, Thomas J. Howard, MD, Attila Nakeeb, MD, Nicholas J. Zyromski, MD, and Keith D. Lillemoe, MD atty infiltration of the pancreas was first described by Objective: To determine whether patients who develop a pancreatic FOgilvie in 1933. He found 9% pancreatic fat in lean fistula after pancreatoduodenectomy are more likely to have pancre- compared with 17% pancreatic fat in obese cadavers. After a atic fat than matched controls. hiatus of over 40 years, Olsen revisited this concept and Background: Pancreatic fistula continues to be a major cause of showed a positive correlation for both age and body weight postoperative morbidity and increased length of stay after pancre- with pancreatic fat. Since then, more sophisticated radio- atoduodenectomy. Factors associated with postoperative pancreatic logic techniques have been used to correlate pancreatic fat fistula include a soft pancreas, a small pancreatic duct, the underly- 3,4 with obesity. Interest in this phenomenon has further in- ing pancreatic pathology, the regional blood supply, and surgeon’s creased since the establishment of adipose tissue as an endo- experience. Fatty TI - Fatty Pancreas A Factor in Postoperative Pancreatic Fistula JO - Annals of Surgery DO - 10.1097/SLA.0b013e31814a6906 DA - 2007-12-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/fatty-pancreas-a-factor-in-postoperative-pancreatic-fistula-jzuRRM0p20 SP - 1058 EP - 1064 VL - 246 IS - 6 DP - DeepDyve ER -