Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy
Pancreaticojejunal anastomotic leakage is one of the severe complications after pancreaticoduodenectomy and is often difficult to manage. A 64-year-old man status post pancreaticoduodenectomy had the gastroduodenal artery stump bleeding caused by the pancreaticojejunal anastomotic leakage, successfu...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2019-11-01
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| Series: | Diagnostic and Interventional Radiology |
| Online Access: |
http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-transgastric-pancreatic-duct-drainage/54863
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| _version_ | 1797691255456530432 |
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| author | Minobu Kamo Ryo Miyazawa Tomoya Nisiyama Kenji Nakamura Kunihiro Yagihashi |
| author_facet | Minobu Kamo Ryo Miyazawa Tomoya Nisiyama Kenji Nakamura Kunihiro Yagihashi |
| author_sort | Minobu Kamo |
| collection | DOAJ |
| description | Pancreaticojejunal anastomotic leakage is one of the severe complications after pancreaticoduodenectomy and is often difficult to manage. A 64-year-old man status post pancreaticoduodenectomy had the gastroduodenal artery stump bleeding caused by the pancreaticojejunal anastomotic leakage, successfully treated by placing a covered stent. To control the leakage, subsequent percutaneous transgastric pancreatic duct puncture was performed under fluoroscopic guidance, targeting a surgically placed pancreaticojejunal internal drainage catheter. A 5 F catheter with side holes was inserted into the main pancreatic duct, the tip of which was placed in the anastomosed jejunum. The leak was successfully treated using this catheter. Percutaneous transgastric pancreatic duct drainage might be a useful and feasible option to resolve the condition. |
| first_indexed | 2024-03-12T02:10:45Z |
| format | Article |
| id | doaj.art-07dac0bcb3a04b2cbb2e151442bcaf0e |
| institution | Directory Open Access Journal |
| issn | 1305-3825 1305-3612 |
| language | English |
| last_indexed | 2024-03-12T02:10:45Z |
| publishDate | 2019-11-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Diagnostic and Interventional Radiology |
| spelling | doaj.art-07dac0bcb3a04b2cbb2e151442bcaf0e2023-09-06T13:00:42ZengGalenos Publishing HouseDiagnostic and Interventional Radiology1305-38251305-36122019-11-0125647147210.5152/dir.2019.1903813049054Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomyMinobu Kamo0Ryo Miyazawa1Tomoya Nisiyama2Kenji Nakamura3Kunihiro Yagihashi4 Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan Department of Gastroenterology, St. Luke’s International Hospital, Tokyo, Japan Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Department of Radiology, Kawasaki Municipal Tama Hospital, Kawasaki, Japan Pancreaticojejunal anastomotic leakage is one of the severe complications after pancreaticoduodenectomy and is often difficult to manage. A 64-year-old man status post pancreaticoduodenectomy had the gastroduodenal artery stump bleeding caused by the pancreaticojejunal anastomotic leakage, successfully treated by placing a covered stent. To control the leakage, subsequent percutaneous transgastric pancreatic duct puncture was performed under fluoroscopic guidance, targeting a surgically placed pancreaticojejunal internal drainage catheter. A 5 F catheter with side holes was inserted into the main pancreatic duct, the tip of which was placed in the anastomosed jejunum. The leak was successfully treated using this catheter. Percutaneous transgastric pancreatic duct drainage might be a useful and feasible option to resolve the condition. http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-transgastric-pancreatic-duct-drainage/54863 |
| spellingShingle | Minobu Kamo Ryo Miyazawa Tomoya Nisiyama Kenji Nakamura Kunihiro Yagihashi Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy Diagnostic and Interventional Radiology |
| title | Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| title_full | Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| title_fullStr | Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| title_full_unstemmed | Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| title_short | Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| title_sort | percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy |
| url |
http://www.dirjournal.org/archives/archive-detail/article-preview/percutaneous-transgastric-pancreatic-duct-drainage/54863
|
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