{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T21:16:39Z","timestamp":1793222199509,"version":"4.5.0"},"reference-count":8,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[1977,1,1]],"date-time":"1977-01-01T00:00:00Z","timestamp":220924800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1977,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Acute necrotizing pancreatitis associated with occult duodenal necrosis and perforation developed in 3 patients 2 to 4 weeks after initially successful treatment of hemorrhagic pancreatitis. Exploration was required for fever, abdominal mass, or X\u2010ray findings of an intra\u2010abdominal abscess. At operation all pancreatic and retroperitoneal abscesses were drained with sump tubes, and the duodenal fistula was closed. An intraluminal tube, placed via a gastrostomy, was used for decompression of the duodenum. Postoperative management included total parenteral nutrition, antibiotics specific for aerobic and anaerobic flora, and frequent X\u2010rays to locate new intra\u2010abdominal abscesses. One to 4 reoperations were necessary because of continuing pancreatic necrosis and abscess formation in each patient. Necrotizing pancreatitis with unrelenting retroperitoneal sepsis and fistula formation results in serious morbidity, hospital stays of several months, and is now the major cause of death in patients with pancreatitis. Survival of all 3 patients resulted from drainage of evolving retroperitoneal abscesses and improvement in our technique for management of large duodenal fistulas<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01654745","type":"journal-article","created":{"date-parts":[[2005,5,9]],"date-time":"2005-05-09T13:42:54Z","timestamp":1115646174000},"page":"105-111","source":"Crossref","is-referenced-by-count":11,"title":["Survival of patients with duodenal fistulas from necrotizing pancreatitis"],"prefix":"10.1002","volume":"1","author":[{"given":"F. Kristian","family":"Storm","sequence":"first","affiliation":[{"name":"Department of Surgery UCLA School of Medicine Los Angeles California USA"},{"name":"Surgical Service Veterans Administration Wadsworth Hospital Center Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel E.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Surgery UCLA School of Medicine Los Angeles California USA"},{"name":"Surgical Service Veterans Administration Wadsworth Hospital Center Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[1977,1]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(66)80012-0"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197404000-00003"},{"key":"e_1_2_1_4_1","first-page":"39","article-title":"Intestinal fistula complicating pancreatic abscess","volume":"140","author":"Mason H.D.","year":"1975","journal-title":"Surg. 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