Diagnostic and Interventional Radiology
Interventional Radiology - Technical Note

Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy

1.

Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

2.

Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan

3.

Department of Gastroenterology, St. Luke’s International Hospital, Tokyo, Japan

4.

Department of Radiology, St. Luke’s International Hospital, Tokyo, Japan; Department of Radiology, Kawasaki Municipal Tama Hospital, Kawasaki, Japan

Diagn Interv Radiol 2019; 25: 471-472
DOI: 10.5152/dir.2019.19038
Read: 100 Downloads: 55 Published: 04 November 2019

Pancreaticojejunal anastomotic leakage is one of the severe complications after pancreaticoduodenectomy and is often difficult to manage. 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 F catheter with side holes was inserted into the main pancreatic duct, the tip of which was placed in the anastomosed jejunum. The leak was successfully treated using this catheter. Percutaneous transgastric pancreatic duct drainage might be a useful and feasible option to resolve the condition.

 

You may cite this article as: Kamo M, Miyazawa R, Nisiyama T, Nakamura K, Yagihashi K. Percutaneous transgastric pancreatic duct drainage for pancreaticojejunal leak after pancreaticoduodenectomy. Diagn Interv Radiol 2019; 25:471–472.

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