Skip to main content
SpringerLink
Log in

Combined Endoscopic-Radiological Rendezvous for Distal Tail Postoperative Pancreatic Fistula (POPF)

  • Technical Note
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Postoperative pancreatic fistula (POPF) with leakage of pancreatic juice is a rare, severe complication following pancreatic resection or, less commonly, splenectomy. Definitive treatment can require multidisciplinary approaches. We report a case of stenosis of the main pancreatic duct with distal tail GRADE C POPF, occurred after splenectomy for Hodgkin lymphoma, successfully treated with combined radiological-endoscopic approach.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Bassi C, Dervenis C, Butturini G, Fingerhut A, Yeo C, Izbicki J, Neoptolemos J, Sarr M, Traverso W, Buchler M. Postoperative pancreatic fistula: an international study group (ISGPF) definition. International Study Group on Pancreatic Fistula Definition. Surgery. 2005;138(1):8–13 (Review).

    Article  PubMed  Google Scholar 

  2. Hackert T, Werner J, Büchler MW. Postoperative pancreatic fistula. Surgeon. 2011;9(4):211–7.

    Article  PubMed  Google Scholar 

  3. Fazel A. Postoperative pancreatic leaks and fistulae: the role of the endoscopist. Tech Gastrointest Endosc. 2006;8:92–8.

    Article  Google Scholar 

  4. Veillette G, Dominguez I, Ferrone C, Thayer SP, McGrath D, Warshaw AL, Fernández-del Castillo C. Implications and management of pancreatic fistulas following pancreaticoduodenectomy: the Massachusetts General Hospital experience. Arch Surg. 2008;143(5):476–81.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Mauri G, Mattiuz C, Sconfienza LM, Pedicini V, Poretti D, Melchiorre F, Rossi U, Lutman FR, Montorsi M. Role of interventional radiology in the management of complications after pancreatic surgery: a pictorial review. Insights Imaging. 2015;6(2):231–9.

    Article  PubMed  Google Scholar 

  6. Grandic L, Jukic I, Simunic M, Tonkic A, Maras-Simunic M, Banović J, Vrebalov-Cindro V, Hozo I. Successful conservative and endoscopic treatment of pancreatic fistula due to splenectomy following blunt abdominal trauma. Med Arh. 2007;61(1):56–8.

    PubMed  Google Scholar 

  7. Varadarajulu S, Noone TC, Tutuian R, et al. Predictors of outcome in pancreatic duct disruption managed by endoscopic transpapillary stent placement. Gastrointest Endosc. 2005;61:568–75.

    Article  PubMed  Google Scholar 

  8. Arvanitakis M, Delhaye M, Bali MA, Matos C, Le Moine O, Devière J. Endoscopic treatment of external pancreatic fistulas: when draining the main pancreatic duct is not enough. Am J Gastroenterol. 2007;102(3):516–24.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Radiological Sciences, Oncological and Anatomo-pathological Sciences, Vascular and Interventional Radiology Unit, “Sapienza” University of Rome, Viale Regina Elena 324, 00161, Rome, Italy

    Pierleone Lucatelli, Beatrice Sacconi, Renato Argirò, Mario Corona, Mario Bezzi, Fabrizio Fanelli & Carlo Catalano

  2. Center for Life Nano Science@Sapienza, Istituto Italiano di Tecnologia, Viale Regina Elena 291, Rome, Italy

    Beatrice Sacconi

  3. Department of General Surgery Paride Stefanini, Interventional Endoscopy Unit, “Sapienza” University of Rome, Rome, Italy

    Fabrizio Cereatti & Fausto Fiocca

  4. Department of Radiology, Azienda Ospedaliero Universitaria di Cagliari-Polo di Monserrato, Cagliari, Italy

    Luca Saba

Authors
  1. Pierleone Lucatelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Beatrice Sacconi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Fabrizio Cereatti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Renato Argirò
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mario Corona
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Mario Bezzi
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Fabrizio Fanelli
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Fausto Fiocca
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Luca Saba
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Carlo Catalano
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Pierleone Lucatelli.

Ethics declarations

Conflict of Interest

For all authors, there is no potential conflict of interest that could be perceived to bias our work. The authors had full control of all the data and information presented in this manuscript.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lucatelli, P., Sacconi, B., Cereatti, F. et al. Combined Endoscopic-Radiological Rendezvous for Distal Tail Postoperative Pancreatic Fistula (POPF). Cardiovasc Intervent Radiol 39, 1327–1331 (2016). https://doi.org/10.1007/s00270-016-1332-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-016-1332-3

Keywords

Search

Navigation