Erschienen in:
01.11.2003 | Case Report
A Minimally Invasive Approach for Postoperative Pancreatic Fistula
verfasst von:
Shintaro Yamazaki, Kenmei Kuramoto, Yutaka Itoh, Yoshika Watanabe, Toshisada Ueda
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 6/2003
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Abstract
Pancreas fistula is a well-known and severe complication of pancreaticoduodenectomy. It is difficult to control with conservative therapy, inducing further complications and severe morbidity. Until now, re-operation has been the only way to resolve pancreatic fistula causing complete dehiscence of the pancreatic-enteric anastomosis (complete pancreatic fistula). Percutaneous transgastric fistula drainage is one of the treatments for pancreatic fistula. This procedure allows both pancreas juice drainage and anastomosis re-construction at the same time. This is effective and minimally invasive but difficult to adapt to a long or complicated fistula. In particular, dilatation of the main pancreatic duct is indispensable. This paper reports the successful resolution of a postoperative pancreatic fistula by a two-way-approach percutaneous transgastric fistula drainage procedure. Using a snare catheter from the fistula and a flexible guidewire from the transgastric puncture needle, it can be performed either with or without main pancreatic duct dilatation.