A Minimally Invasive Approach for Postoperative Pancreatic Fistula
| Autor: | Yutaka Itoh, Shintaro Yamazaki, Toshisada Ueda, Yoshika Watanabe, Kenmei Kuramoto |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Percutaneous Fistula medicine.medical_treatment Anastomosis Radiography Interventional Pancreaticoduodenectomy Pancreatic Fistula medicine Humans Minimally Invasive Surgical Procedures Radiology Nuclear Medicine and imaging Aged Pancreatic duct business.industry medicine.disease Surgery Catheter Treatment Outcome medicine.anatomical_structure Pancreatic fistula Drainage Female Radiology Cardiology and Cardiovascular Medicine Pancreas business |
| Zdroj: | CardioVascular and Interventional Radiology. 26 |
| ISSN: | 1432-086X 0174-1551 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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