Advertisement

CardioVascular and Interventional Radiology

, Volume 36, Issue 5, pp 1344–1349 | Cite as

Percutaneous Management of Postoperative Duodenal Stump Leakage with Foley Catheter

  • Jung Suk Oh
  • Hae Giu LeeEmail author
  • Ho Jong Chun
  • Byung Gil Choi
  • Sang Hoon Lee
  • Seong Tai Hahn
  • Joon Young Ohm
Clinical Investigation

Abstract

Purpose

This study was designed to evaluate retrospectively the safety and efficacy of the percutaneous management of duodenal stump leakage with a Foley catheter after subtotal gastrectomy.

Methods

Ten consecutive patients (M:F = 9:1, median age: 64 years) were included in this retrospective study. The duodenal stump leakages were diagnosed in all the patients within a median of 10 days (range, 6–20). At first, the patients underwent percutaneous drainage on the day of or the day after confirmation of the presence of duodenal stump leakage, and then the Foley catheters were replaced at a median of 9 days (range, 6–38) after the percutaneous drainage.

Results

Foley catheters were placed successfully in the duodenal lumen of all the patients under a fluoroscopic guide. No complication was observed during and after the procedures in all the patients. All of the patients started a regular diet 1 day after the Foley catheter placement. The patients were discharged at a median of 7 days (range, 5–14) after the Foley catheter placement. The catheters were removed in an outpatient clinic 10–58 days (median, 28) after the Foley catheter placement.

Conclusions

Fluoroscopy-guided percutaneous Foley catheter placement may be a safe and effective treatment option for postoperative duodenal stump leakage and may allow for shorter hospital stays, earlier oral intake, and more effective control of leakage sites.

Keywords

Foley catheter Duodenal stump leakage Surgical anastomosis 

Notes

Conflict of interest

Jung Suk Oh, Hae Giu Lee, Ho Jong Chun, Byung Gil Choi, Sang Hoon Lee, Seong Tai Hahn and Joon Young Ohm have no conflicts of interest to declare regarding this study.

References

  1. 1.
    Golub R, Golub RW, Cantu R Jr, Stein HD (1997) A multivariate analysis of factors contributing to leakage of intestinal anastomoses. J Am Coll Surg 184(4):364–372PubMedGoogle Scholar
  2. 2.
    Hur HLY, Jeon HM, Kim W (2010) Management of anastomotic leakage after gastrointestinal surgery using fluoroscopy-guided Foley catheter. J Korean Surg Soc 78:6CrossRefGoogle Scholar
  3. 3.
    Li J, Ren J, Zhu W, Yin L, Han J (2003) Management of enterocutaneous fistulas: 30-year clinical experience. Chinese Med J 116(2):171–175Google Scholar
  4. 4.
    McIntyre PB, Ritchie JK, Hawley PR, Bartram CI, Lennard-Jones JE (1984) Management of enterocutaneous fistulas: a review of 132 cases. Br J Surg 71(4):293–296PubMedCrossRefGoogle Scholar
  5. 5.
    Tottrup A (2010) Foley catheter enterostomy for postoperative bowel perforation: an effective source control. World J Surg 34(11):2752–2754PubMedCrossRefGoogle Scholar
  6. 6.
    Papanicolaou N, Mueller PR, Ferrucci JT Jr, Dawson SL, Johnson RD, Simeone JF et al (1984) Abscess-fistula association: radiologic recognition and percutaneous management. AJR Am J Roentgenol 143(4):811–815PubMedCrossRefGoogle Scholar
  7. 7.
    Kim H-C HJ, Kim KW, Son KR, Choi BI (2008) Interventional management after gastrectomy: the spectrum of imaging findings and procedures. J Korean Radiol Soc 58:9Google Scholar
  8. 8.
    Reid-Lombardo KM, Farnell MB, Crippa S, Barnett M, Maupin G, Bassi C et al (2007) Pancreatic anastomotic leakage after pancreaticoduodenectomy in 1,507 patients: a report from the Pancreatic Anastomotic Leak Study Group. J Gastrointest Surg 11(11):1451–1458 discussion 1459PubMedCrossRefGoogle Scholar
  9. 9.
    Baigrie RJ, Devitt PG, Watkin DS (1996) Enteral versus parenteral nutrition after oesophagogastric surgery: a prospective randomized comparison. Aust N Z J Surg 66(10):668–670PubMedCrossRefGoogle Scholar
  10. 10.
    Meguid MM, Campos AC (1996) Nutritional management of patients with gastrointestinal fistulas. Surg Clin N Am 76(5):1035–1080PubMedCrossRefGoogle Scholar
  11. 11.
    Karlson KB, Martin EC, Fankuchen EI, Mattern RF, Cooperman AM, Rose EA et al (1981) Non-surgical drainage of intra-abdominal and mediastinal abscesses: a report of twelve cases. Cardiovasc Intervent Radiol 4(3):170–176PubMedCrossRefGoogle Scholar
  12. 12.
    Tang Y, Li R, Chen L, Wu X (2008) Nutritional support of duodenal stump leakage after gastrectomy for gastric carcinoma. Zhonghua wei chang wai ke za zhi 11(1):47–49PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Jung Suk Oh
    • 1
  • Hae Giu Lee
    • 1
    Email author
  • Ho Jong Chun
    • 1
  • Byung Gil Choi
    • 1
  • Sang Hoon Lee
    • 2
  • Seong Tai Hahn
    • 2
  • Joon Young Ohm
    • 3
  1. 1.Department of RadiologySeoul St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaSeoulRepublic of Korea
  2. 2.Department of RadiologyYeouido St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaSeoulRepublic of Korea
  3. 3.Department of RadiologyBucheon St. Mary’s Hospital, College of Medicine, The Catholic University of KoreaBucheon-siRepublic of Korea

Personalised recommendations