A 44-year-old man has a pancreatic fistula that has persisted for 30 days following necrosectomy. The output is 60 mL/day, and there is skin excoriation at the drain exit site. He has been receiving total parenteral nutrition. White blood cell count and C-reactive protein are normal. What should be your treatment plan?
A. Administer somatostatin analogue.
B. Reassure the patient and begin oral intake.
C. Back out the existing drain over 5-7 days.
D. Perform a distal pancreatectomy.
E. Perform endoscopic retrograde cholangiopancreatography (ERCP) with stent placement.
Select your answer:
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