Your browser doesn't support javascript.
loading
Treatment of delayed pancreatic fistula associated with anastomosis breakdown after pancreaticoduodenectomy using percutaneous interventions.
Suzuki, Reimi; Konishi, Yuji; Makino, Kai; Wakui, Yosuke; Mino, Kazuhiro; Kawamura, Hideki; Morita, Ryo; Kakisaka, Tatsuhiko; Abo, Daisuke; Taketomi, Akinobu.
Afiliación
  • Suzuki R; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan. reimi.s.572@gmail.com.
  • Konishi Y; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan.
  • Makino K; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan.
  • Wakui Y; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan.
  • Mino K; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan.
  • Kawamura H; Department of Surgery, National Hospital Organization Hokkaido Medical Center, 1-1, Yamanote-5-7, Nishi-ku, Sapporo, 063-0005, Japan.
  • Morita R; Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan.
  • Kakisaka T; Department of Gastroenterological Surgery I, Hokkaido University, Sapporo, Japan.
  • Abo D; Department of Diagnostic and Interventional Radiology, Hokkaido University Hospital, Sapporo, Japan.
  • Taketomi A; Department of Gastroenterological Surgery I, Hokkaido University, Sapporo, Japan.
Clin J Gastroenterol ; 17(2): 356-362, 2024 Apr.
Article en En | MEDLINE | ID: mdl-38108998
ABSTRACT
We here present a rare case of development of a postoperative pancreatic fistula and breakdown of the pancreaticojejunal anastomosis 8 months after pancreaticoduodenectomy. A 70-year-old man underwent pancreaticoduodenectomy for distal cholangiocarcinoma and initially recovered well. However, 8 months later, he developed abdominal pain and distention and was admitted to our institution with suspected pancreatitis. On the 17th day of hospitalization, he suddenly bled from the jejunal loop and a fluid collection was detected near the pancreaticojejunal anastomosis site. The fluid collection was drained percutaneously. Subsequent fistulography confirmed breakdown of the pancreaticojejunal anastomosis. Considering the patient's overall condition and the presence of postoperative adhesions, we decided to manage him conservatively. An additional drain tube was placed percutaneously from the site of the anastomotic breakdown into the lumen of the jejunum, along with the tube draining the fluid collection, creating a completely new fistula. This facilitated the flow of pancreatic fluid into the jejunum and was removed 192 days after placement. During a 6-month follow-up, there were no recurrences of pancreatitis or a pancreatic fistula. This case highlights the efficacy of percutaneous drainage and creation of an internal fistula as a management strategy for delayed pancreatic fistula and anastomotic breakdown following pancreaticoduodenectomy.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Fístula Pancreática Límite: Aged / Humans / Male Idioma: En Revista: Clin J Gastroenterol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Pancreatitis / Fístula Pancreática Límite: Aged / Humans / Male Idioma: En Revista: Clin J Gastroenterol Año: 2024 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón