Pancreatic Disorders & Therapy
Open Access
ISSN: 2165-7092
+44 1478 350008
ISSN: 2165-7092
+44 1478 350008
Masataka Kikuyama
Shizuoka General Hospital 4-27-1,
Kita-ando, Aoiku, Shizuoka, 420-8527
Japan
Research Article
Strategy to Treat Pancreatic Fistula Using Comprehensive Endoscopic Procedures Together with Percutaneous Methods
Author(s): Masataka Kikuyama, Masaya Kawaguchi, Tatsuki Ueda and Yuji OtaMasataka Kikuyama, Masaya Kawaguchi, Tatsuki Ueda and Yuji Ota
Objective: Pancreatic fistula (PF) is an early complication after pancreatoduodenectomy. PF occurs because of disruption to the pancreatodigestive tract anastomosis with stricture or occlusion. A strategy to treat PF using interventional methods is proposed.
Methods: We treated a total of 6 patients with PF by endoscopic ultrasound (EUS)-guided or percutaneous pancreatic duct drainage. In this paper, these patients are reviewed based on the applied treatment for PF.
Results: At the time of introduction to our department, all the patients, except for one, had a percutaneous drainage tube implanted prior to surgery. In 2 patients undergoing pancreatojejunostomy within 3 months of the previous surgery, percutaneous introduction of a guidewire into the anastomosed jejunum, via the disrupted anastomosis, through the per.. View More»
DOI:
10.4172/2165-7092.1000173