E-ISSN 1305-3612
Interventional Radiology - Technical Note
Percutaneous transgastric pancreatic-duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy
1 Clinic of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany  
2 Clinic of Gastroenterology, St. Luke’s International Hospital, Tokyo, Japan  
3 Clinic of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Clinic of Radiology, Kawasaki Municipal Tama Hospital, Kawasaki, Japan  
Diagn Interv Radiol ; : -

Abstract

Pancreaticojejunal anastomotic leakage is one of the severe complications after pancreaticoduodenectomy and is often difficult to be managed. A 64-year-old man status post pancreaticoduodenectomy had the gastroduodenal artery stump bleeding caused by the pancreaticojejunal anastomotic leakage, successfully treated by placing a covered stent. To control the leakage, subsequent percutaneous transgastric pancreatic-duct puncture was performed under fluoroscopic guidance, targeting a surgically placed pancreaticojejunal internal drainage catheter. A 5-Fr catheter with side holes was inserted into the main pancreatic duct, the tip of which was placed in the anastomosed jejunum. The leak was well treated using this catheter. Percutaneous transgastric pancreatic duct drainage might be an useful and a feasible option to resolve the condition.

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