Our experience with enterocutaneous fistulas as a complication after operative procedures on the pancreas is based on a retrospective study of the medical records of 543 patients treated at the surgical department of the University of Mainz between 1964 and 1984. Enterocutaneous fistulas occurred with a frequency of 11.8% (64 patients). Operative reintervention became necessary in 25% of these cases (16 out of 64 patients). As there are only few indications which justify reintervention, the decision should be based on both the individual situation and the primary operation performed. Of the 64 patients who developed fistulas, 4 succumbed to the ensuing complications. Conservative management was successful in achieving a complete cure in 75% of the patients, with a treatment time of up to 21 months.
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