What is pancreaticocutaneous fistula?

Criteria Diagnosis Fluid > 50 cc/day, Fluid Amylase> 3 times of Serum Amylase, Persistence leakage >7 days, Low Output Fistula : <200 ml/day, High Output Fistula : >200 ml/day, Spon. Solved about 90% Tx : Drainage Confirm Pancreatic Juice , Record Vol. , Resuscitation , Culture , Skin Protection Diagnosis ERCP Fistulogram / Fistuloscope (after 3 wk.) Decompression Drug : Somatostatin , Octreotide Definitive Surgery Distal Pancreatectomy vs R-E-Y/ Pancreaticojejunostomy