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

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...

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Published inInterventional Radiology Vol. 8; no. 3; pp. 161 - 164
Main Authors Toyoda, Shohei, Nishiofuku, Hideyuki, Matsumoto, Takeshi, Sato, Takeshi, Maeda, Shinsaku, Chanoki, Yuto, Oshima, Keisuke, Irizato, Mariko, Masada, Tetsuya, Sueyoshi, Satoru, Tanaka, Toshihiro
Format Journal Article
LanguageEnglish
Published Japanese Society of Interventional Radiology 01.11.2023
Subjects
interventional radiology
pancreatic fistula
pancreatoduodenectomy
pancreatojejunostomy reconstruction
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Abstract 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.
AbstractList 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.
ArticleNumber 2023-0008
Author Chanoki, Yuto
Matsumoto, Takeshi
Sato, Takeshi
Irizato, Mariko
Nishiofuku, Hideyuki
Maeda, Shinsaku
Masada, Tetsuya
Tanaka, Toshihiro
Toyoda, Shohei
Oshima, Keisuke
Sueyoshi, Satoru
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SubjectTerms interventional radiology
pancreatic fistula
pancreatoduodenectomy
pancreatojejunostomy reconstruction
Title Percutaneous Trans-jejunum Pancreatojejunostomy Reconstruction for Intractable Pancreatic Fistula after Pancreatoduodenectomy
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