Pancreatic fistula after Jaboulay strictureplasty
What is the rate of postoperative pancreatic fistula after Jaboulay duodenal strictureplasty
What is known
- The Birmingham duodenal-strictureplasty series reported anastomotic leak with fistula and high reoperation rates, but did not specify a pancreatic fistula. 1
- The Cleveland Clinic series noted one enterocutaneous fistula unrelated to the strictureplasty, not a pancreatic fistula. 1
- The Jaboulay video vignette flags proximity of the ampulla of Vater as the technical hazard but reports no pancreatic-fistula rate. 2
What is unknown / caveats
- Duodenal Crohn's is rare and Jaboulay case numbers are very small
- No excerpt reports pancreatic fistula as a discrete outcome for Jaboulay strictureplasty
- A specific pancreatic-fistula rate for Jaboulay duodenal strictureplasty is not captured in the retrieved literature. This may be a reporting or indexing gap rather than true absence.
References
- [No authors listed]. Safety and efficacy of strictureplasty for Crohn's disease: a systematic review and meta-analysis. Dis Colon Rectum. 2007;50(11):1968-86. PMID: 17762967.
- [No authors listed]. Bowel preserving surgery for stricturing jejunoileal Crohn's disease, part 4: Jaboulay duodenal strictureplasty: A step-by-step video vignette-A video vignette. Colorectal Dis. 2025;27(12):e70325. PMID: 41366230.
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⚠ Required context not in this corpus (moderate). A rigid FIBROTIC (fibrostenotic, non-inflammatory) stricture is the classic INDICATION for bowel-sparing strictureplasty, not a contraindication. The contraindications are sepsis, phlegmon, fistula, and suspected malignancy.
Why this matters: Calling fibrotic stricture a contraindication inverts the indication and steers a bowel-sparing candidate to resection.
Added by the landmark interlock. This corpus is surgical in scope and cannot admit the source paper. Not generated by the RAG.
Draft, generated by the IBDology RAG and not yet clinician-reviewed. Answers are grounded in the retrieved literature listed above; a high faithfulness score means the answer matches its sources, not that the sources are correct.
Reviewer notes