DOI QR코드

DOI QR Code

Percutaneous Pancreatic Stent Placement for Postoperative Pancreaticojejunostomy Stenosis: A Case Report

  • Received : 2016.02.20
  • Accepted : 2016.06.05
  • Published : 2016.09.01

Abstract

Stenosis of the pancreatico-enteric anastomosis is one of the major complications of pancreaticoduodenectomy (PD). Endoscopic stent placement, has limited success rate as a nonsurgical treatment due to altered gastrointestinal anatomy. Percutaneous treatment is rarely attempted due to the technical difficulty in accessing the pancreatic duct. We reported a case of pancreaticojejunostomy stenosis after PD, in which a pancreatic stent was successfully placed using a rendezvous technique with a dual percutaneous approach.

Keywords

References

  1. Tani M, Kawai M, Terasawa H, Ueno M, Hama T, Hirono S, et al. Complications with reconstruction procedures in pylorus-preserving pancreaticoduodenectomy. World J Surg 2005;29:881-884 https://doi.org/10.1007/s00268-005-7697-0
  2. Reid-Lombardo KM, Ramos-De la Medina A, Thomsen K, Harmsen WS, Farnell MB. Long-term anastomotic complications after pancreaticoduodenectomy for benign diseases. J Gastrointest Surg 2007;11:1704-1711 https://doi.org/10.1007/s11605-007-0369-7
  3. Itoi T, Kasuya K, Sofuni A, Itokawa F, Kurihara T, Yasuda I, et al. Endoscopic ultrasonography-guided pancreatic duct access: techniques and literature review of pancreatography, transmural drainage and rendezvous techniques. Dig Endosc 2013;25:241-252 https://doi.org/10.1111/den.12048
  4. Mathieson JR, Cooperberg PL, Murray DJ, Dashefsky S, Christensen R, Schmidt N. Pancreatic duct obstruction treated with percutaneous antegrade insertion of a metal stent: report of two cases. Radiology 1992;185:465-467 https://doi.org/10.1148/radiology.185.2.1410355
  5. Simianu VV, Ramsey MP, Sherman S, Zyromski NJ. Necrotizing pancreatitis caused by pancreatoduodenectomy. Pancreas 2010;39:942-943 https://doi.org/10.1097/MPA.0b013e3181d36359
  6. Mallery S, Matlock J, Freeman ML. EUS-guided rendezvous drainage of obstructed biliary and pancreatic ducts: Report of 6 cases. Gastrointest Endosc 2004;59:100-107 https://doi.org/10.1016/S0016-5107(03)02300-9
  7. Barkay O, Sherman S, McHenry L, Yoo BM, Fogel EL, Watkins JL, et al. Therapeutic EUS-assisted endoscopic retrograde pancreatography after failed pancreatic duct cannulation at ERCP. Gastrointest Endosc 2010;71:1166-1173 https://doi.org/10.1016/j.gie.2009.10.048
  8. Will U, Fueldner F, Thieme AK, Goldmann B, Gerlach R, Wanzar I, et al. Transgastric pancreatography and EUS-guided drainage of the pancreatic duct. J Hepatobiliary Pancreat Surg 2007;14:377-382 https://doi.org/10.1007/s00534-006-1139-8
  9. Dumonceau JM, Delhaye M, Tringali A, Dominguez-Munoz JE, Poley JW, Arvanitaki M, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2012;44:784-800 https://doi.org/10.1055/s-0032-1309840

Cited by

  1. Percutaneous Image-Guided Pancreatic Duct Drainage: Technique, Results and Expected Benefits vol.40, pp.12, 2016, https://doi.org/10.1007/s00270-017-1727-9