Percutaneous Treatment using a T-tube or an Internal Drainage Tube is a Useful Method for Pancreaticocutaneous Fistula that may Occur following Pancreaticoduodenectomy. Report of Two Cases

Kawamata, Mayumi; Kurosawa, Haruki; Komatsu, Shigeharu; Sugita, Mitsutaka; Hamaguchi, Yohei; Masui, Hidenobu; Fukushima, Tadao; Mogaki, Masatoshi; Nagahori, Kaoru; Shimada, Hiroshi

doi:10.5833/jjgs.42.133

Cited by 1 publication

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“…The endoscopic or interventional radiology management of complications has been described in several papers [3,4]. Due to disconnection of the pancreato-jejunal anastomosis, PF can be treated effectively using a combination of endoscopic and percutaneous rendezvous or interventional radiological techniques with a T-tube [4,5]. However, in this case, closure of only the jejunal fistula occurred 5 months after percutaneous drainage.…”

Section: Discussionmentioning

confidence: 97%

Percutaneous Trans-jejunum Pancreatojejunostomy Reconstruction for Intractable Pancreatic Fistula after Pancreatoduodenectomy

Toyoda,

Nishiofuku,

Matsumoto

et al. 2023

Interventional Radiology

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We present an interventional radiology technique for percutaneous trans-jejunal pancreatojejunostomy reconstruction for intractable pancreatic fistula. A 70-year-old man with pancreatic cancer who had undergone pancreatoduodenectomy underwent percutaneous drainage for leakage from the anastomosis of the pancreatic duct to the jejunum. The leakage continued and the hole at the anastomosis site in the jejunum closed completely after 5 months. We performed percutaneous jejunostomy; the previously placed drainage catheter was then replaced with a balloon catheter, which was punctured by a 19-gauge needle from inside the jejunum through the percutaneous jejunostomy tube. The seeking catheter was inserted into the pancreatic duct. Finally, a side-holed 6-Fr straight catheter was successfully placed in the pancreatic duct through the percutaneous jejunostomy route.

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