Pancreatic fistula: interventional radiological treatment by collection. Jejunal loop internal drainage.

Autor: Papa M, Tripodi V, P Francioso A, Bisagni P
Jazyk: angličtina
Zdroj: Annali italiani di chirurgia [Ann Ital Chir] 2023 Sep 08; Vol. 94. Date of Electronic Publication: 2023 Sep 08.
Abstrakt: Pancreaticoduodenectomy is a major surgical procedure associated with various and important complications, often difficult to be managed. Pancreatic fistula is due to leakage of pancreatic juice in the abdominal cavity and is the main and most frequent complication after pancreatic surgery. The treatment of pancreatic fistula may change according to degree. Interventional radiology (IR) can offer powerful minimally invasive alternatives in managing pancreatic fistulas. We report the case of a patient affected by ampullar adenocarcinoma who underwent pancreaticoduodenectomy. Surgery was complicated by high-flow pancreatic fistula treated conservatively with CT guided percutaneous transhepatic drainage. Due to persistent leak of pancreatic fluid the abdominal effusion was drained percutaneously in the jejunal loop by Interventional radiology. KEY WORDS: Pancreatic fistula, Jejunal loop internal drainage, Radiological treatment.
Databáze: MEDLINE