AI Article Synopsis
- The text describes a new technique in interventional radiology aimed at addressing intractable pancreatic fistulas through a specific surgical procedure.
- A 70-year-old man with pancreatic cancer experienced complications following surgery, leading to leakage from an anastomosis site that ultimately closed off.
- The procedure involved using a percutaneous jejunostomy to replace a drainage catheter with a balloon catheter, allowing access to the pancreatic duct and successful placement of a catheter to address the leakage.
Article 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.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10681759 | PMC |
| http://dx.doi.org/10.22575/interventionalradiology.2023-0008 | DOI Listing |
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