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Percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis in the management of a case of intractable pancreatic cutaneous fistula

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Summary

In the treatment of postoperative pancreatic cutaneous fistula, various non-surgical techniques are recommended due to the potential complications from repeated operation in the presence of marked inflammatory changes and adhesions. We describe herein the case of a 70-year-old Japanese man with an intractable pancreatic cutaneous fistula following pancreatoduodenectomy, in whom successful treatment was achieved through percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis. Non-surgical percutaneous intervention may be a useful modality to treat an intractable external pancreatic fistula in accordance with the underlying cause of fistula formation.

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References

  1. Zinner MJ, Baker RR, Cameron JL. Pancreatic cutaneous fistulas. Surg Gynecol Obstet 1974;138:710–712.

    PubMed  CAS  Google Scholar 

  2. Prinz RA, Pickleman J, Hoffman JP. Treatment of pancreatic cutaneous fistulas with a somatostatin analog. Amer J Surg 1988; 155:36–42.

    Article  PubMed  CAS  Google Scholar 

  3. Kune GA, Thomas RJ, Russell J. External pancreatic fistula; A recent advance in management. Aust NZ J Surg 1978;48:287–290.

    CAS  Google Scholar 

  4. Siegel JH, Guelrud M. Endoscopic cholangiopancreatoplasty: hydrostatic balloon dilation in the bile duct and pancreas. Gastrointest Endosc 1983;29:99–103.

    Article  PubMed  CAS  Google Scholar 

  5. Martin FM, Rossi RL, Munson L et al. Management of pancreatic fistulas. Arch Surg 1989;124:571–573.

    PubMed  CAS  Google Scholar 

  6. Konishi K, Maeda K, Yagi M et al. A case of intractable pancreatic fistula cured by fistulo-gastrostomy. J Jap Panc Assoc 1988;3:199–203. (in Japanese)

    Google Scholar 

  7. Ohta T, Nagakawa T, Tsukioka Y et al. A new nonoperative method of percutaneous transgastric fistulo-drainage for an intractable external pancreatic fistula. A case report. Jpn J Surg 1991; 21:229–233.

    Article  Google Scholar 

  8. Lansden FT, Adams DB, Anderson MC. Treatment of external pancreatic fistulas with somatostatin. Am Surg 1989;55:695–698.

    PubMed  CAS  Google Scholar 

  9. Morali GA, Braverman DZ, Shemesh D et al. Successful treatment of pancreatic pseudocyst with a somatostatin analogue and catheter drainage. Am J Gastroenterol 1991;86:515–518.

    PubMed  CAS  Google Scholar 

  10. Gislason H, Grønbech JE, Søreide O. Pancreatic ascites: Treatment of continuous somatostatin infusion. Am J Gastroenterol 1991;86:519–521.

    PubMed  CAS  Google Scholar 

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Satoh, H., Hirohashi, Y., Katano, M. et al. Percutaneous pneumatic balloon dilation of the obstructed pancreaticojejunal anastomosis in the management of a case of intractable pancreatic cutaneous fistula. Gastroenterol Jpn 28, 317–321 (1993). https://doi.org/10.1007/BF02779237

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  • DOI: https://doi.org/10.1007/BF02779237

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