Skip to main content
SpringerLink
Log in

A Minimally Invasive Approach for Postoperative Pancreatic Fistula

  • Case Report
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

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.

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

Figure 1
Figure 2
Figure 3

Similar content being viewed by others

References

  1. CF Castillo DW Rattner AL Warshaw (1995) ArticleTitleStandards for pancreatic resection in the 1990s. Arch Surg 130 295–300 Occurrence Handle7887797

    PubMed  Google Scholar 

  2. N Sato K Yamaguchi K Chijiiwa et al. (1998) ArticleTitleRisk analysis of pancreatic fistula after pancreatic head resection. Arch Surg 133 1094–1098 Occurrence Handle10.1001/archsurg.133.10.1094 Occurrence Handle1:STN:280:DyaK1M%2FgsVyltQ%3D%3D Occurrence Handle9790207

    Article  CAS  PubMed  Google Scholar 

  3. BW Miedema MG Sarr JA Heerden et al. (1992) ArticleTitleComplications following pancreaticoduodenectomy. Arch Surg 127 945–950 Occurrence Handle1:STN:280:By2A2M3jtVc%3D Occurrence Handle1353671

    CAS  PubMed  Google Scholar 

  4. FM Martin RL Rossi JL Munson et al. (1989) ArticleTitleManagement of pancreatic fistulas. Arch Surg 124 571–573 Occurrence Handle1:STN:280:BiaB38jmtFQ%3D Occurrence Handle2712699

    CAS  PubMed  Google Scholar 

  5. JJ Cullen MG Sarr DM Ilstrup (1994) ArticleTitlePancreatic anastmotic leak after pancreaticoduodenectomy: Incidence, significance, and management. Am J Surg 168 295–298 Occurrence Handle1:STN:280:ByqD3s%2FhslQ%3D Occurrence Handle7524375

    CAS  PubMed  Google Scholar 

  6. T Ohta T Nagakawa Y Tsukioka et al. (1991) ArticleTitleA new nonoperative method of percutaneous transgastric fistulo-drainage for an intractable external pancreatic fistula. Jpn J Surg 21 229–233

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Third Department of Surgery, Nihon University School of Medicine, 30-1 Ohyaguchi kamimachi, Itabashi-ku, Tokyo 173-8610, Japan

    Shintaro Yamazaki & Yoshika Watanabe

  2. Department of Surgery, National Hospital Tokyo, Disaster Medical Center, Tokyo, Japan

    Shintaro Yamazaki, Yutaka Itoh, Yoshika Watanabe & Toshisada Ueda

  3. Department of Radiology, National Hospital Tokyo, Disaster Medical Center, Tokyo, Japan

    Kenmei Kuramoto

Authors
  1. Shintaro Yamazaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Kenmei Kuramoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yutaka Itoh
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yoshika Watanabe
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Toshisada Ueda
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Shintaro Yamazaki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Yamazaki, S., Kuramoto, K., Itoh, Y. et al. A Minimally Invasive Approach for Postoperative Pancreatic Fistula . CVIR 26, 580–582 (2003). https://doi.org/10.1007/s00270-003-0086-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-003-0086-x

Keywords

Search

Navigation