Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Takeshi Tomoda; Hironari Kato; Yutaka Akimoto; Kazuyuki Matsumoto; Naoki Yamamoto; Yasuhiro Noma; Ryo Harada; Shigeru Horiguchi; Koichiro Tsutsumi; Hiroyuki Okada

doi:10.1007/s12328-015-0580-0

Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Takeshi Tomoda, Hironari Kato, Yutaka Akimoto, Kazuyuki Matsumoto, Naoki Yamamoto, Yasuhiro Noma, Ryo Harada, Shigeru Horiguchi, Koichiro Tsutsumi, Hiroyuki Okada

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.

Original language	English
Pages (from-to)	228-231
Number of pages	4
Journal	Clinical Journal of Gastroenterology
Volume	8
Issue number	4
DOIs	https://doi.org/10.1007/s12328-015-0580-0
Publication status	Published - Aug 27 2015

Keywords

Endoscopic ultrasonography
FV echoendoscope
Pancreatic fistula

ASJC Scopus subject areas

Gastroenterology

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10.1007/s12328-015-0580-0

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title = "Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope",

abstract = "There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.",

keywords = "Endoscopic ultrasonography, FV echoendoscope, Pancreatic fistula",

author = "Takeshi Tomoda and Hironari Kato and Yutaka Akimoto and Kazuyuki Matsumoto and Naoki Yamamoto and Yasuhiro Noma and Ryo Harada and Shigeru Horiguchi and Koichiro Tsutsumi and Hiroyuki Okada",

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AU - Tomoda, Takeshi

AU - Kato, Hironari

AU - Akimoto, Yutaka

AU - Matsumoto, Kazuyuki

AU - Yamamoto, Naoki

AU - Noma, Yasuhiro

AU - Harada, Ryo

AU - Horiguchi, Shigeru

AU - Tsutsumi, Koichiro

AU - Okada, Hiroyuki

PY - 2015/8/27

Y1 - 2015/8/27

N2 - There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.

AB - There are few reports on endoscopic ultrasonography (EUS)-guided transjejunal drainage. Here, we report a case with postoperative pancreatic fistula treated by endoscopic transjejunal drainage using a forward-viewing (FV) echoendoscope. A 69-year-old woman who had undergone pancreaticoduodenectomy was admitted because of pancreatic fistula. Placement of plastic stents into the pancreatic duct using a double-balloon enteroscope and EUS-guided transgastric drainage failed. We attempted EUS-guided transjejunal drainage using an FV echoendoscope that can advance through the acute-angled intestinal tract safely, and drainage was performed. There were no complications, and follow-up computed tomography showed complete resolution.

KW - Endoscopic ultrasonography

KW - FV echoendoscope

KW - Pancreatic fistula

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Endoscopic ultrasonography-guided transjejunal drainage for postoperative pancreatic fistula using forward-viewing echoendoscope

Abstract

Keywords

ASJC Scopus subject areas

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